MEDICARE: PEYTON LECONTE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP024317T	SC
2	225100000X	Physical Therapist		DE

General Provider Information

NPI Number	:	1578291738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEYTON LECONTE DPT

Provider Business Mailing Address
First Line	:	211 EXECUTIVE DR STE 11
Second Line	:
City	:	NEWARK
State	:	DE
Zip	:	19702-3358
Country	:	US
Telephone Number	:	302-731-2888
Fax Number	:	302-644-3300

Provider Business Practice Location Address
First Line	:	395 OLD LANDING RD STE 102
Second Line	:
City	:	MILLSBORO
State	:	DE
Zip	:	19966-1249
Country	:	US
Telephone Number	:	302-934-3922
Fax Number	:	302-907-4044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2022
Last Update Date	:	06/04/2026

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Directions to “ PEYTON LECONTE DPT” Practice Location

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