Phoenix Rehabilitation and Health Services of Delaware Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC

Practice address

30214 Sussex Hwy Unit 4B
Laurel, DE 19956-3880

Phone

(302) 875-8640

Fax

(302) 875-8642

NPI assigned

Jul 29, 2022

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Rich

Title

Credentialing Coordinator

Phone

(724) 216-6753

Specialties & licenses 2

Addresses

Other names 2

• Atlantic Physical Therapy Other name
• Phoenix Physical Therapy Other name

Tax ID family

Phoenix Rehab HLTH SVCS12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Ocean View, DE
  • NPI 1033845193
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Selbyville, DE
  • NPI 1366178428
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Georgetown, DE
  • NPI 1407583750
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Millsboro, DE
  • NPI 1427784578
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapy Clinic/Center
  • Wilmington, DE
  • NPI 1508590407
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  dba Phoenix Physical Therapy

  • Physical Therapist
  • Milford, DE
  • NPI 1578299624
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Newark, DE
  • NPI 1679209720
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Lewes, DE
  • NPI 1780310938
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Seaford, DE
  • NPI 1821724980
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware Inc

  • Physical Therapist
  • Dover, DE
  • NPI 1932835162
  NPD tax ID
• Phoenix Rehabilitation and Health Services of Delaware, Inc

  • Physical Therapist
  • Selbyville, DE
  • NPI 1316647159
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1891421046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30214 SUSSEX HWY UNIT 4B",
            "city": "LAUREL",
            "state": "DE",
            "postal_code": "199563880",
            "telephone_number": "302-875-8640",
            "fax_number": "302-875-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES OF DELAWARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "724-216-6753"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Phoenix Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Antonio Pedro, M.D.
• Forrest William Pender, SLP
• Peninsula Home Care at Nanticoke LLC
• Peninsula Regional Medical Center
• Patricia Petrecca, PT
• Deborah Pontorno, SPEECH PATHOLOGIST
• Kaitlyn Brooke Prettyman
• P. Vance Prewitt, M.D.
• Psychological Associates of Southern Delaware
• Jaden Sierra Raynor

• Physical Therapist in Laurel, DE
• Providers in Laurel, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.