Individual provider Active NPI

Gregg Chodkowski, MSPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1932164498
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0001313 Issued in DE
Practice address
1303 Veale Rd
Wilmington, DE 19810-4601
Phone
(302) 477-0800
Fax
(302) 477-0801
NPI assigned
Apr 19, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J10001313 DE
Physical Therapist 225100000X J1-0001313 DE Primary

Addresses

Primary practice location

1303 Veale Rd
Wilmington, DE 19810-4601

Mailing address

1303 Veale Rd
Wilmington, DE 19810-4601
Phone (302) 477-0800

Other identifiers 2

IdentifierTypeStateIssuer
0001040201MedicaidDE
S97321OtherDEBCBS OF DE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060302000245 DE Practitioner - Physical Therapist in Private Practice 7315953130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health and Rehabilitation IncGroup PAC ID 3375601404, 3 clinicians

Practice addresses (Care Compare)

1303 Veale Rd
Wilmington, DE 19810-4601
Phone (302) 261-9535

Merit-based Incentive Payment System (MIPS)

Final score
21.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10001313DEMDPhysical Medicine & Rehabilitation Physician

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1932164498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 VEALE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104601",
            "telephone_number": "302-477-0800",
            "fax_number": "302-477-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 VEALE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104601",
            "telephone_number": "302-477-0800",
            "fax_number": "302-477-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODKOWSKI",
        "first_name": "GREGG",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "J10001313",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0001313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001040201",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DE",
            "identifier": "S97321",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.