Individual provider Active NPI

Olivia Deluca

  • Physical Therapist
  • Norwell, MA
National Provider Identifier
1417685082
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26270 Issued in MA
Practice address
99 Longwater Cir Ste 201
Norwell, MA 02061-1643
Phone
(781) 347-4686
Fax
(781) 347-4696
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 26270 MA Primary

Addresses

Primary practice location

99 Longwater Cir Ste 201
Norwell, MA 02061-1643

Mailing address

99 Longwater Cir Ste 201
Norwell, MA 02061-1643
Phone (781) 347-4686

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927003837 MA Practitioner - Physical Therapist in Private Practice 0042696197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab Associates PCGroup PAC ID 8820044092, 3 clinicians

Practice addresses (Care Compare)

300 Oak St
Suite 450
Pembroke, MA 02359-1930
Phone (781) 829-9966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy Inc Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Orthopedic Rehab Associates PC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients

Locations

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

231 Chief Justice Cushing Hwy
Ste 203
Cohasset, MA 02025
Phone (781) 214-8585

289 Saint George St
Unit 101
Duxbury, MA 02332
Phone (781) 829-9966

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1417685082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "781-347-4686",
            "fax_number": "781-347-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 LONGWATER CIR STE 201",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611643",
            "telephone_number": "781-347-4686",
            "fax_number": "781-347-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.