Individual provider Active NPI

Cory Beth Lucatamo, DPT, PT

  • Physical Therapist
  • Lewes, DE
National Provider Identifier
1215746326
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0015012 Issued in DE
Practice address
20268 Plantations Rd Ste B
Lewes, DE 19958-4622
Phone
(302) 727-0075
Fax
(302) 449-2047
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 J1-0015012 DE Primary

Addresses

Primary practice location

20268 Plantations Rd Ste B
Lewes, DE 19958-4622

Mailing address

1050 Industrial Dr Ste 210
Middletown, DE 19709-2803
Phone (302) 727-0075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250131002503 DE Practitioner - Physical Therapist in Private Practice 3577092782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20268 Plantations Rd B
Lewes, DE 19958-4622
Phone (302) 727-0075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0015012DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy and Sports Performance Limited Partnership CurrentSince Jan 27, 2025 Accepting new patients
Premier Physical Therapy and Sports Performance Limited Partnership Physical Therapist CurrentSince Jan 27, 2025 Accepting new patients

Locations

20268 Plantations Rd
Ste B
Lewes, DE 19958
Phone (302) 449-2048

1050 Industrial Dr
Ste 210
Middletown, DE 19709

100 S Main St
Ste 300
Smyrna, DE 19977
Phone (302) 389-7855

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1215746326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 INDUSTRIAL DR STE 210",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092803",
            "telephone_number": "302-727-0075",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20268 PLANTATIONS RD STE B",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584622",
            "telephone_number": "302-727-0075",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCATAMO",
        "first_name": "CORY",
        "middle_name": "BETH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.