Individual provider Active NPI

Jennifer Lee Eley, MPT, CHT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1891731246
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1001064 Issued in DE
Practice address
750 Prides Xing
Newark, DE 19713-6104
Phone
(302) 864-2222
Fax
(302) 907-4028
NPI assigned
Jun 22, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT014287L PA
Physical Therapist 225100000X J1001064 DE Primary

Addresses

Primary practice location

750 Prides Xing
Newark, DE 19713-6104

Mailing address

1602 Newport Gap Pike
Wilmington, DE 19808-6208
Phone (302) 633-5840

Other identifiers 1

IdentifierTypeStateIssuer
J10001084OtherDEDE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000595 DE Practitioner - Physical Therapist in Private Practice 7810994944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Callaway Franceschini LLCGroup PAC ID 4880024496, 25 clinicians
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

750 Prides Xing
Suite 112
Newark, DE 19713-6107
Phone (302) 864-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1001064DEMDPhysical Therapist
PT014287LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Callaway Franceschini LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
First State Orthopaedics PA Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Callaway Franceschini LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
First State Orthopaedics, PA Physical Therapist PastSince Jul 19, 2020 Accepting new patients

Locations

1030 Forrest Ave
Ste 105A
Dover, DE 19904
Phone (302) 268-8880

601 Tower Ln
Ste 202
Middletown, DE 19709
Phone (302) 268-8880

4106 Ogletown Stanton Rd
Newark, DE 19713
Phone (302) 894-1600

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

750 Prides Xing
Ste 112
Newark, DE 19713
Phone (302) 864-2222

1602 Newport Gap Pike
Wilmington, DE 19808

1722 Naamans Rd
Wilmington, DE 19810
Phone (302) 722-6419

Interoperability endpoints

  • Direct secure messaging: jennifer.eleyptcht.p1@direct.fsoortho.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1891731246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086208",
            "telephone_number": "302-633-5840",
            "fax_number": "302-633-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PRIDES XING",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136104",
            "telephone_number": "302-864-2222",
            "fax_number": "302-907-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT014287L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1001064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE LICENSE",
            "identifier": "J10001084",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.