Herminigilda Dadulia Delantar, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501011201 Issued in MI

Practice address

211 W Pine Lake Drive
Newaygo, MI 49337

Phone

(231) 652-5381

Fax

(231) 652-5385

NPI assigned

Feb 22, 2012

Last updated

Feb 22, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Amie Delantar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1952674954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W PINE LAKE DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "49337",
            "telephone_number": "231-652-5381",
            "fax_number": "231-652-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W PINE LAKE DRIVE",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "49337",
            "telephone_number": "231-652-5381",
            "fax_number": "231-652-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANTAR",
        "first_name": "HERMINIGILDA",
        "middle_name": "DADULIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501011201",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501011201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMIE",
            "last_name": "DELANTAR",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthopedic Physical Therapist in Newaygo, MI
• Providers in Newaygo, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.