Active NPI
Luther Delera
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1528591799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 29103
- Practice address
- 7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737 - Phone
- (317) 286-2885
- Fax
- (317) 388-0805
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 29103 | FL | Primary |
| Physical Therapist | 225100000X | P14806 | NC |
Addresses
Primary practice location
7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737
Mailing address
7345 Woodland Dr Ste C
Indianapolis, IN 46278-1737
Phone (317) 286-2885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29103 | FL | MD | Physical Therapist |
| P14806 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Life Home Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350
26 River Rd
Summit, NJ 07901
Phone (201) 818-8680
Organizations & group practices 3
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.
-
- Physical Therapist
- Livingston, NJ
- NPI 1467048777
-
- Physical Therapist
- Saddle River, NJ
- NPI 1689022295
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1528591799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-286-2885",
"fax_number": "317-388-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7345 WOODLAND DR STE C",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462781737",
"telephone_number": "317-286-2885",
"fax_number": "317-388-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELERA",
"first_name": "LUTHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 29103",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.