MEDICAL MASSAGE OF DELAWARE (NPI# 1780918961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780918961 |
| Entity Type | Organization |
| Organization Name | MEDICAL MASSAGE OF DELAWARE |
| Practice Address |
105 Megan Dr Bear DE 19701-2085 |
| Mailing Address |
Po Box 240 Kirkwood DE 19708-0240 |
| Practice Telephone | 8887571951 |
| Mailing Telephone | 8887571951 |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |
| Authorized Official Name | JACKIE STAKER (LMT) |
| Authorized Official Telephone | 8887571951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MT0001873 | DE | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1679937122 | Medical Massage of Delaware | Clinic/Center | 234 Philadelphia Pike, Wilmington, DE 19809-3126 | 2016-04-11 |
| Street Address |
105 MEGAN DR |
| City | BEAR |
| State | DE |
| Zip Code | 19701-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165427 | Delaware Dental Solutions LLC | Dentist | 131 Becks Woods Dr., Bear, DE 19701 | 2019-10-08 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 2018-08-27 |
| 1124513270 | Shanila Shagufta | Psychiatry & Neurology | 434 Roger Chaffee Sq., Bear, DE 19701 | 2018-06-29 |
| 1932614393 | Steps Center LLC | Home Health | 14 S Saint George Ter, Bear, DE 19701 | 2017-12-07 |
| 1467978205 | Ijn Health Systems, LLC | Home Health | 603 Parkman Court, Bear, DE 19701 | 2017-08-14 |
| 1992226922 | Sharon Thebe | Nurse Practitioner | 30 Printz Drive, Bear, DE 19701 | 2017-06-29 |
| 1003286287 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, MD 19701 | 2015-10-01 |
| 1881075695 | Yvette Pendleton | Technician, Pathology | 30 Lotus Circle N, Bear, DE 19701 | 2015-06-17 |
| 1639574692 | Nicole Sult | Counselor | 516 Daniels Ct, Bear, DE 19701 | 2014-11-01 |
| 1528498797 | Advanced Behavior Treatment, LLC | Community/Behavioral Health | 9 Willhelen Ct, Bear, DE 19701 | 2013-11-25 |
| Find all providers in zip 19701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003286287 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, MD 19701 | 2015-10-01 |
| 1487054565 | Stephanie Dimos | Specialist | 5102 Christiana Mdws, Bear, DE 19701-1156 | 2014-08-26 |
| 1952684672 | Cassandra R. Harmon | Specialist | 1745 Bear Corbitt Rd, 2nd Floor, Bear, DE 19701-1528 | 2011-09-20 |
| 1952771644 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, DE 19701 | 2015-10-07 |
| 1619303534 | Kristen Manchin | Specialist | 925 Bear Corbitt Rd, Bear, DE 19701-1323 | 2013-09-24 |
| 1841625621 | Delaware Therapeutics, LLC | Specialist | 12 Fox Hunt Dr, Bear, DE 19701-2534 | 2013-09-11 |
| 1962678011 | Sleepcare Center, Inc. | Specialist | 2500 Wrangle Hill Rd, Ste: 220, Bear, DE 19701-3836 | 2008-05-07 |
| 1710194337 | Delaware Therapeutics Inc | Specialist | 12 Fox Hunt Dr, Bear, DE 19701-2534 | 2007-05-16 |
| 1134335862 | Chuck Ferguson | Specialist | 12 Fox Hunt Dr, Bear, DE 19701-2534 | 2007-05-16 |
| 1720207582 | Kathleen Esther Klein | Specialist | 1651 Pulaski Hwy, Bear, DE 19701-1453 | 2007-04-24 |
| Find all providers in BEAR | ||||
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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.