Individual provider Active NPI

Michael Walsh, PT

  • Physical Therapist
  • Dover, DE
National Provider Identifier
1962599258
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
810 New Burton Rd Ste 2
Dover, DE 19904-5488
Phone
(302) 724-5593
Fax
(302) 724-5595
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X J10001730 DE
Physical Therapist 225100000X Primary

Addresses

Primary practice location

810 New Burton Rd Ste 2
Dover, DE 19904-5488

Mailing address

810 New Burton Rd Ste 2
Dover, DE 19904-5488
Phone (302) 724-5593

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000617 DE Practitioner - Physical Therapist in Private Practice 6002855046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mike Walsh Physical Therapy, LLCGroup PAC ID 5395870422, 2 clinicians

Practice addresses (Care Compare)

810 New Burton Rd
Suite 2
Dover, DE 19904-5488
Phone (302) 724-5593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J10001730DEMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Walsh Physical Therapy, LLC Physical Therapist CurrentSince Nov 4, 2009 Accepting new patients
Atlantic Physical Therapy Rehabilitation and Sports Medicine Inc Physical Therapist PastSince Aug 1, 2016 Accepting new patients

Locations

810 New Burton Rd
Ste 2
Dover, DE 19904
Phone (302) 724-5593

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1962599258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-724-5593",
            "fax_number": "302-724-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 NEW BURTON RD STE 2",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199045488",
            "telephone_number": "302-724-5593",
            "fax_number": "302-724-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J10001730",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.