Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1417918970

Physical Medicine & Rehabilitation Physician

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. C10003877 (DE). The NPI Number for Unknown Individual is 1417918970

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1417918970

Phone

Not provided

Address

P.O. BOX 30170

Deactivation Date

26 June 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

P.O. BOX 30170
WILMINGTON, DE 198057170
Phone:
Type: Mailing
4735 OGLETOWN STANTON RD
STE 2210
NEWARK, DE 19713
Phone: (302) 623-4144
Fax: (302) 623-4147
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19805)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1417918970 when you need to reference Unknown Individual in forms, claims, or directories.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Physical Medicine & Rehabilitation Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Wilmington, Delaware because that is what the record indicates for Unknown Individual.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.