Healthcare Provider Details

I. General information

NPI: 1023964418
Provider Name (Legal Business Name): WILMINGTON PHYSICAL THERAPY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4561 KIRKWOOD HWY
WILMINGTON DE
19808-5117
US

IV. Provider business mailing address

30 CRIMSON KING DR
BEAR DE
19701-2387
US

V. Phone/Fax

Practice location:
  • Phone: 201-503-6244
  • Fax:
Mailing address:
  • Phone: 201-744-3276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAHENDRA BORAD
Title or Position: OWNER
Credential:
Phone: 201-744-3276