Salvatore R Luciano Jr., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00825800 Issued in NJ

Practice address

2500 English Creek Ave
Lifecenter, 2ND Floor
Egg Harbor Township, NJ 08234-5549

Phone

(609) 677-7268

Fax

(609) 677-7269

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Rehabilitation LLCGroup PAC ID 8224252556, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Champion Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1316362494

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1790700243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "LIFECENTER 2ND FLOOR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7268",
            "fax_number": "609-677-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "LIFECENTER, 2ND FLOOR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7268",
            "fax_number": "609-677-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCIANO",
        "first_name": "SALVATORE",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00825800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPION REHABILITATION LLC GROUP NPI",
            "identifier": "1316362494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie E Lopez, FNP
• Nekia Ebony Love, FNP
• Heather Elise Loveless, CNM, WHNP-BC
• Fatjona Lubonja, ED.D
• Haley Ann Luciani, CRNP
• Conor B Luskin, PA-C
• Kevin Feldman Lutsky, MD
• Rex William Lutz Jr., DO
• Tamant Maceia
• Katherine R Macpherson

• Physical Therapist in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; 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.