SUPRITHA NAGARAJ POLUBOTHU (NPI# 1811402522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811402522 |
| Entity Type | Individual |
| Full Name | SUPRITHA NAGARAJ POLUBOTHU |
| Credential | DPT |
| Practice Address |
1600 Rockland Rd Wilmington DE 19803-3607 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 3026514000 |
| Practice Fax Number | 3026514945 |
| Mailing Telephone | 3026514000 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
J1-0003583 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1600 ROCKLAND RD |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-3607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844345 | Lee Pachter | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2005-07-13 |
| 1871194852 | Joanna Smith | Psychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-11-05 |
| 1508465766 | Claudia Van Lenten | Social Worker | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1043819170 | Erica Reighard | Nurse Practitioner | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-10-20 |
| 1962018325 | Madison Rausch | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-09-21 |
| 1558979088 | Aniela Grzezulkowska | Pediatrics | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-07-21 |
| 1427674951 | Molly Anne Haislip | Registered Nurse | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-06-20 |
| 1295358471 | Molly Beitman | Dietitian, Registered | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-22 |
| 1861015158 | Emily Clouser | Speech-Language Pathologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-21 |
| 1396367454 | Andrea Schelhaas | Genetic Counselor, MS | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952787798 | Laura Ashley Hunter | Physical Therapist | 607 Barksdale Rd, Wilmington, NC 28409-3124 | 2015-08-04 |
| 1003238502 | Jason Paul Beaman | Physical Therapist | 905 Newgate Ln, Wilmington, DE 19808-1527 | 2014-01-17 |
| 1770717415 | Renee L Murphy | Physical Therapist | 405 Northern Blvd, Wilmington, NC 28401-6737 | 2009-05-10 |
| 1558512970 | Candace L. Nomides | Physical Therapist | 7113 Ottawa Ct, Wilmington, NC 28411-7144 | 2008-10-03 |
| 1902304157 | Rebecca Youngblood | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-01-23 |
| 1568918456 | Matthew Harris | Physical Therapist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2016-08-30 |
| 1033277603 | Lisa Pozzi Ross | Physical Therapist | 1600 N Washington St, Wilmington, DE 19802-4722 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1487796454 | The Jungle Gym | Physical Therapist | 19 Shinnecock Road, Dover, DE 19904 | 2007-02-13 |
| 1922145366 | Jennifer Tauras Twining | Physical Therapist | 278 Sorghum Mill Rd, Camden, DE 19934-1935 | 2007-02-01 |
| 1144841859 | Paige Elizabeth Thomas | Physical Therapist | 15 Reads Way Ste 205, New Castle, DE 19720-1600 | 2020-05-04 |
| 1164828307 | Sarah Catherine Flynn | Physical Therapist | 925 Bear Corbitt Rd, Bear, DE 19701-1323 | 2014-11-17 |
| 1700086576 | Donna L. Temple | Physical Therapist | 22317 Dupont Blvd, Easter Seals Delaware and Maryland's Eastern Shore, Georgetown, DE 19947 | 2007-07-20 |
| City | WILMINGTON |
| Zip Code | 19803 |
Please comment or provide details below to improve the information on SUPRITHA NAGARAJ POLUBOTHU.
| 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.