Individual provider Active NPI

Deborah Louise Gangemi, P.T.

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1992849681
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20398 Issued in FL
Practice address
111 Oxford PL
Wilmington, DE 19803-4517
Phone
(803) 522-2589
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20398 FL Primary

Addresses

Primary practice location

111 Oxford PL
Wilmington, DE 19803-4517

Mailing address

111 Oxford PL
Wilmington, DE 19803-4517
Phone (803) 522-2589

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130910000040 DE Practitioner - Physical Therapist in Private Practice 4981663432 Reassigns benefits to 1 organization
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20398FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Therapy Associates, Inc. Physical Therapist Past Accepting new patients
Joseph P Hornberger Ms DC PA PastSince Dec 6, 2004 Accepting new patients

Organizations & group practices 3

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1992849681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OXFORD PL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034517",
            "telephone_number": "803-522-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OXFORD PL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034517",
            "telephone_number": "803-522-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGEMI",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20398",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.