Organization Active NPI

Complete Orthopedic and Sports Therapy LLC

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1073036398
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COMPLETE ORTHOPEDIC AND SPORTS THERAPY LLC
Practice address
155 Main St
Manasquan, NJ 08736-3544
Phone
(412) 480-5640
NPI assigned
Jul 18, 2017
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Lukas Delorenzo, DPTNPI 1841621778
Title
Owner
Phone
(412) 480-5640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

155 Main St
Manasquan, NJ 08736-3544

Mailing address

155 Main St
Manasquan, NJ 08736-3544
Phone (412) 480-5640

Other practice location 1

3435 US 9 Unit 6B
Freehold, NJ 07728-3285
Phone (732) 929-6031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170912002359 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810260999 Receives reassigned benefits from 8 practitioners
Practice locations: Freehold, NJ; Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

3435 US 9
Unit 6B
Freehold, NJ 07728
Phone (732) 929-6031

155 Main St
Manasquan, NJ 08736
Phone (732) 320-9069

63 Atlantic Ave
Manasquan, NJ 08736
Phone (412) 480-5640

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1073036398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "412-480-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "412-480-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3435 US 9 Unit 6B",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077283285",
            "country_code": "US",
            "telephone_number": "732-929-6031",
            "fax_number": "732-592-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE ORTHOPEDIC AND SPORTS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "DELORENZO",
        "authorized_official_first_name": "LUKAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-480-5640",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.