Provider Demographics
NPI:1528943404
Name:DELMARVA PT SERVICES, LLC
Entity type:Organization
Organization Name:DELMARVA PT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YERKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-726-7075
Mailing Address - Street 1:PO BOX 166
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-0166
Mailing Address - Country:US
Mailing Address - Phone:410-726-7075
Mailing Address - Fax:
Practice Address - Street 1:100 8TH ST
Practice Address - Street 2:
Practice Address - City:POCOMOKE CITY
Practice Address - State:MD
Practice Address - Zip Code:21851-1129
Practice Address - Country:US
Practice Address - Phone:757-854-8302
Practice Address - Fax:443-218-6622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty