Organization
DELAWARE PHYSIATRY
Active
Organization
DELAWARE PHYSIATRY
Active
Other names
Delaware NeuroRehab
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SAMPATHKUMAR (OWNER)
(302) 387-1407
Entity
Organization
Contact information
Practice address
1221 COLLEGE PARK DR STE 203, DOVER, DE 19904-8727
(302) 387-1407
(877) 381-4173
Mailing address
1221 COLLEGE PARK DR STE 203, DOVER, DE 19904-8727
(302) 387-1407
(877) 381-4173
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568803575
—
DE
Enumeration date
06/17/2021
Last updated
02/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up