IndividualActive
Supritha Polubothu, DPT
NPI 1811402522 · Pediatric Physical Therapist · Wilmington, DE
Provider details
- NPI number
- 1811402522
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- J1-0003583 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1600 Rockland Rd
Wilmington, DE 19803-3607
Phone: (302) 651-4000
Fax: (302) 651-4945
Street-level locationGet directions
Mailing address
Po Box 191
Rockland, DE 19732-0191
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2017-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.