Individual provider Active NPI

Katharine Lynn De Luca

  • Physical Therapist
  • Madison, NJ
National Provider Identifier
1740818335
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01824300 Issued in NJ
Practice address
20 Cook PLZ
Madison, NJ 07940-1951
Phone
(973) 295-6460
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045764-01 NY
Physical Therapist 225100000X PT297776 CA
Physical Therapist 225100000X 40QA01824300 NJ Primary

Addresses

Primary practice location

20 Cook PLZ
Madison, NJ 07940-1951

Mailing address

20 Cook PLZ
Madison, NJ 07940-1951

Other names 1

  • Katelynn De Luca Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL TheraOffice
SOAP URL TheraOffice

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201012002905 NJ Practitioner - Physical Therapist in Private Practice 1850711920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians

Practice addresses (Care Compare)

5 Boxwood Way
Warren, NJ 07059-6859
Phone (908) 801-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297776CAMDPhysical Therapist
045764-01NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Somdocs CurrentSince Apr 9, 2023 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Jan 9, 2023 Accepting new patients

Locations

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

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, 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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1740818335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COOK PLZ",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COOK PLZ",
            "city": "MADISON",
            "state": "NJ",
            "postal_code": "079401951",
            "telephone_number": "973-295-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUCA",
        "first_name": "KATHARINE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045764-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01824300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TheraOffice",
            "affiliation": "N",
            "address_1": "20 Cook Plz",
            "city": "Madison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079401951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "TheraOffice",
            "affiliation": "N",
            "address_1": "20 Cook Plz",
            "city": "Madison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079401951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "DE LUCA",
            "credential": "PT, DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Madison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.