Individual provider Active NPI

Laura Rose Deluca, PT, DPT

  • Physical Therapist
  • Nutley, NJ
National Provider Identifier
1205317294
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01804400 Issued in NJ
Practice address
265 Franklin Ave
Nutley, NJ 07110-2712
Phone
(973) 661-1207
NPI assigned
Aug 27, 2018
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 40QA01804400 NJ Primary

Addresses

Primary practice location

265 Franklin Ave
Nutley, NJ 07110-2712

Mailing address

935 Allwood Rd
Clifton, NJ 07012-1988
Phone (973) 928-3590

Other practice location 1

935 Allwood Rd
Clifton, NJ 07012-1988
Phone (973) 928-3590

Other names 1

  • Laura Rose Ciano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Staff Physical Therapy PC Physical Therapist CurrentSince Apr 14, 2019 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 11, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 11, 2018 Accepting new patients
Pro Staff Physical Therapy PC PastSince May 18, 2025 Accepting new patients

Locations

935 Allwood Rd
Fl First
Clifton, NJ 07012
Phone (973) 928-3590

265 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-0500

Organizations & group practices 4

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1205317294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 ALLWOOD RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121988",
            "telephone_number": "973-928-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102712",
            "telephone_number": "973-661-1207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Allwood Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070121988",
            "country_code": "US",
            "telephone_number": "973-928-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01804400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CIANO",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.