IndividualActive
Jeanzen Michelle Raqueno, PT
NPI 1164694402 · Physical Therapist · Dover, DE
Provider details
- NPI number
- 1164694402
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- J1-0002167 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1078 S State St
Suite 1
Dover, DE 19901-6925
Phone: (302) 678-2397
Fax: (302) 678-2399
Street-level locationGet directions
Mailing address
1501 Blueball Ave
Linwood, PA 19061-3922
Registry dates
- Enumerated
- 2008-03-27
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.