Individual provider Active NPI

Laura M Delladonna, RPT

  • Physical Therapist
  • Fairfield, CT
National Provider Identifier
1063671881
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004335 Issued in CT
Practice address
305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone
(203) 337-2600
Fax
(203) 337-2611
NPI assigned
Jun 6, 2008
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004335 CT Primary

Addresses

Primary practice location

305 Black Rock Tpke
Fairfield, CT 06825-5508

Mailing address

52 Beach Rd
Suite 207
Fairfield, CT 06824-6017
Phone (203) 225-7000

Other practice location 1

52 Beach Rd
Suite 207
Fairfield, CT 06824-6017
Phone (203) 225-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000074 CT Practitioner - Physical Therapist in Private Practice 2567535537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.92 of 100Reported as group
Quality
58.9
Promoting interoperability
82
Improvement activities
40
Cost
75.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004335CTMDClinical Psychologist
4335CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rehab@1244.direct.myezyaccess.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1063671881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 BEACH RD",
            "address_2": "SUITE 207",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246017",
            "telephone_number": "203-225-7000",
            "fax_number": "203-225-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BLACK ROCK TPKE",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255508",
            "telephone_number": "203-337-2600",
            "fax_number": "203-337-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Beach Rd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246017",
            "country_code": "US",
            "telephone_number": "203-225-7000",
            "fax_number": "203-225-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLADONNA",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.