Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicolina Pentrelli Deraco, LPT

Individual provider Specialist · NPI 1487691523

Nicolina Pentrelli Deraco, LPT is a Physical Therapist in Private Practice in East Hanover, New Jersey. Qualified in 1999, 27 years ago. Practices with United Sports Care and Physical Therapy, a 43-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2006

Practice location Address checks out

11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone: (197) 388-7900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 022136-1 (NY)

Record details

NPI number1487691523
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorYes
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 13, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice United Sports Care And Physical Therapy — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Hanover