- Practice location
- 208 N Dupont Blvd, Smyrna, DE 19977-1511
- Phone
- 302-539-8389
- Fax
- —
- Last updated
- March 19, 2021
Gregg Edward Dedomenico is a Physical Therapist based in Smyrna, DE. Gregg Edward Dedomenico practices in Smyrna, DE and has the professional credentials of PT, DPT, MS, ATC. The NPI Number for Gregg Edward Dedomenico is 1205412483 and holds a License No. J1-0014325 (DE). The current practice location address for Gregg Edward Dedomenico is 208 N Dupont Blvd, Smyrna, DE 19977-1511 and can be reached out via phone at 302-539-8389.
Provider Profile Details
- NPI Number
- 1205412483
- Provider Name
- Gregg Edward Dedomenico
- Credential
- PT, DPT, MS, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 208 N Dupont Blvd, Smyrna, DE 19977-1511
- Phone Number
- 302-539-8389
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 19, 2021
- Last Update Date
- March 19, 2021
- Certification Date
- February 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 N Dupont Blvd
Smyrna, DE 19977-1511 - City
- Smyrna
- State
- Delaware
- Zip
- 19977-1511
- Phone Number
- 302-539-8389
Provider Business Mailing Address Details
- Address
- 110 Cartagena Dr
Brick, NJ 08723-7005 - City
- Brick
- State
- NJ
- Zip
- 08723-7005
- Phone Number
- 347-609-3038
License Information
- License Number
- J1-0014325
- License State
- DE
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Smyrna, DE
View all Physical Therapists in Smyrna →Frequently Asked Questions
What is the NPI number of Gregg E Dedomenico, PT, DPT, MS, ATC?
The NPI number of Gregg E Dedomenico, PT, DPT, MS, ATC is 1205412483. It was assigned on March 19, 2021 and is currently active in the NPPES registry.
What is the specialty of Gregg E Dedomenico, PT, DPT, MS, ATC?
Gregg E Dedomenico, PT, DPT, MS, ATC is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in DE under license number J1-0014325.
Where does Gregg E Dedomenico, PT, DPT, MS, ATC practice?
The practice location is 208 N Dupont Blvd, Smyrna, DE 19977-1511. The office can be reached at 302-539-8389 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205412483 directly on the NPPES registry website.