Healthcare Provider Details

I. General information

NPI: 1518948355
Provider Name (Legal Business Name): TODD STUART CUMMING PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 SLEEPY HOLLOW DR SUITE 101
MIDDLETOWN DE
19709-5838
US

IV. Provider business mailing address

101 LAKESIDE DR
MIDDLETOWN DE
19709-1374
US

V. Phone/Fax

Practice location:
  • Phone: 302-449-3050
  • Fax: 302-449-3055
Mailing address:
  • Phone: 302-376-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberJ10001843
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: