Healthcare Provider Details
I. General information
NPI: 1922918895
Provider Name (Legal Business Name): ADVANCED PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 BECKS WOODS DR
BEAR DE
19701-3833
US
IV. Provider business mailing address
200 BIDDLE AVE STE 203
NEWARK DE
19702-3966
US
V. Phone/Fax
- Phone: 302-595-2584
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DANIEL
SPECIALE
JR.
Title or Position: OWNER/CEO
Credential: PT
Phone: 302-287-8965