Individual provider Active NPI

Katherine Delorenzo, DPT

  • Sports Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1851722771
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
40QA01527500 Issued in NJ
Practice address
63 Atlantic Ave
Manasquan, NJ 08736-2926
Phone
(732) 592-2224
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 40QA01527500 NJ Primary

Addresses

Primary practice location

63 Atlantic Ave
Manasquan, NJ 08736-2926

Mailing address

516 Glenmere Ave
Neptune, NJ 07753-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QA01527500NJMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Rehab Toms River LLC Sports Current Accepting new patients
Complete Orthopedic and Sports Therapy LLC Sports CurrentSince Feb 7, 2021 Accepting new patients
Coast Rehab Millstone LLC Sports Current Accepting new patients
New Jersey Rehabilitation Past Accepting new patients
Elite Sports Physical Therapy Past Accepting new patients

Locations

63 Atlantic Ave
Manasquan, NJ 08736
Phone (412) 480-5640

155 Main St
Manasquan, NJ 08736
Phone (732) 320-9069

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1851722771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 GLENMERE AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077535611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 ATLANTIC AVE",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362926",
            "telephone_number": "732-592-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORENZO",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01527500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.