Healthcare Provider Details

I. General information

NPI: 1548766967
Provider Name (Legal Business Name): LAUREN ELAINA CIANCI PT, DPT, ATC, CSCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COLUMBIA RD
MORRISTOWN NJ
07960-4535
US

IV. Provider business mailing address

30 SUNSET TER
WAYNE NJ
07470-4237
US

V. Phone/Fax

Practice location:
  • Phone: 973-206-0208
  • Fax:
Mailing address:
  • Phone: 973-896-9776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02171000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: