SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC (NPI# 1720534852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720534852 |
| Entity Type | Organization |
| Organization Name | SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION, LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
26089 Shoppes At Long Neck Blvd Millsboro DE 19966-5981 |
| Mailing Address |
501 Fairmount Ave Ste 302 Towson MD 21286-5457 |
| Practice Telephone | 3024241810 |
| Mailing Telephone | 4109278768 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Authorized Official Name | HARRIS THOMPSON (CEO) |
| Authorized Official Telephone | 4108856371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| PIVOT PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649726647 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 1211 Churchmans Rd, Newark, DE 19713-2149 | 2016-08-30 |
| 1043766041 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 37155 Rehoboth Ext, Rehoboth Beach, DE 19971-3194 | 2016-08-30 |
| 1851847859 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 120 Sandhill Dr, Ste 3, Middletown, DE 19709-5806 | 2016-08-30 |
| 1336695329 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 2 Lee Ave, Ste 101, Georgetown, DE 19947-2149 | 2016-08-30 |
| 1366998361 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 1401 Foulk Rd, Ste 203, Wilmington, DE 19803-2763 | 2016-08-30 |
| 1508312596 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 207 Stadium St, Smyrna, DE 19977-2899 | 2016-08-30 |
| 1740736743 | Southern Delaware Sportscare and Rehabilitation, LLC | Physical Therapist | 1015 S Governors Ave, Dover, DE 19904-6901 | 2016-08-30 |
| 1750836888 | Southern Delaware Sportscare and Rehabilitation, LLC | Occupational Therapist | 29 Atlantic Ave, Ocean View, DE 19970-9155 | 2016-08-18 |
| 1902351034 | Southern Delaware Sportscare and Rehabilitation, LLC | Occupational Therapist | 701 Savannah Rd, Ste A1, Lewes, DE 19958-1550 | 2016-08-18 |
| Street Address |
26089 SHOPPES AT LONG NECK BLVD |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174795967 | Stephanie Johnson Sliwa | Occupational Therapist | 26089 Shoppes At Long Neck Blvd, Millsboro, DE 19966 | 2008-04-01 |
| 1093204935 | Rachel Malboeuf | Physical Therapist | 26089 Shoppes At Long Neck Blvd, Millsboro, DE 19966 | 2018-05-07 |
| 1083039978 | Nadene Forbes | Physical Therapy Assistant | 26089 Shoppes At Long Neck Blvd, Millsboro, DE 19966-5981 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
| 1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
| 1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
| Find all providers in zip 19966 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1366969883 | Dynamic Therapy Services LLC | Physical Therapist | 26396 Bay Farm Rd Unit 1, Millsboro, DE 19966-4993 | 2017-08-25 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1750787990 | Hannah Schoonover | Physical Therapist | 26744 John J Williams Hwy Unit 6, Millsboro, DE 19966-4667 | 2014-11-17 |
| 1801135611 | Jessica Kauffman | Physical Therapist | 28535 Dupont Blvd Unit 1, Millsboro, DE 19966-4799 | 2013-02-14 |
| 1760761688 | Estrelle Romina Geronimo Diaz | Physical Therapist | 32618 W Albemarle Ct, Suite 100, Millsboro, DE 19966-4824 | 2011-08-09 |
| 1265727523 | Sara Toner Chalabala | Physical Therapist | 26744 John J Williams Hwy Unit 1b, Millsboro, DE 19966-4667 | 2011-06-15 |
| 1467781922 | Allan Ralar Ragpa | Physical Therapist | 231 S. Washington St, Millsboro, DE 19966 | 2009-12-12 |
| 1609064179 | Sara Elizabeth Novy | Physical Therapist | 32310 Bayshore Dr, Millsboro, DE 19966-9058 | 2007-10-10 |
| Find all providers in MILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.