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NPI 1649735747 · Physical Therapist · Middletown, DE
Provider details
- NPI number
- 1649735747
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- J1-0004034 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670
Phone: (302) 449-2048
Fax: (302) 449-2047
Street-level locationGet directions
Mailing address
1050 Industrial Rd Ste 210
Middletown, DE 19709-2803
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2019-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.