Active NPI
Katharine Lynn De Luca
- Physical Therapist
- Madison, NJ
National Provider Identifier
1740818335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01824300
- Practice address
- 20 Cook PLZ
Madison, NJ 07940-1951 - Phone
- (973) 295-6460
- NPI assigned
- Mar 30, 2020
- Last updated
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | TheraOffice | ||
| SOAP URL | TheraOffice |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT297776 | CA | MD | Physical Therapist |
| 045764-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somdocs | Current | Accepting new patients | |
| Synaptic Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Synaptic Rehab Bridgewater | Physical Therapist | Past | 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.
-
- Physical Therapist
- Warren, NJ
- NPI 1518514397
-
- Family Medicine Physician
- Somerville, NJ
- NPI 1508390832
-
- Physical Therapist
- Bridgewater, NJ
- NPI 1487460770
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
- Cura Functional Medicine LLC
- Cuttone Health, Dr. Lucia Cuttone, DNP, Mba, Aprn, Agpcnp-BC, LLC
- Sarah D'Alessio
- Patricia Davis
- Barbara C. Day, D.V.M.
- Debra Haverson Psychotherapy Services LLC
- Angelo Del Priore, DPM
- Zachary Demetrios, PTA
- Stephen George Derosa Jr., DC, ATC
- Richard Michael Di Turi, M.D.
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.