Suzanne Polcyn Deluca, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 013396L Issued in PA

Practice address

34 Greythorne Woods Cir
Wayne, PA 19087-4758

Phone

(610) 995-2727

NPI assigned

Oct 12, 2006

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Physical Therapy, LLC

  • Physical Therapist
  • King of Prussia, PA
  • NPI 1841375086
  NPD (past)
• Patch Technique PLLC

  • Chiropractor
  • King of Prussia, PA
  • NPI 1750816351
  NPD (past)
• Tracy Horter Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Rosemont, PA
  • NPI 1275599409
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1043309602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 COUNTY LINE RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102516",
            "telephone_number": "610-581-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 GREYTHORNE WOODS CIR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874758",
            "telephone_number": "610-995-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "SUZANNE",
        "middle_name": "POLCYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT 013396L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5936658",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE (INDEPBC)",
            "identifier": "2124448000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Adelaide Davis, MSS, LCSW
• Robert Richard Davis, CRNP
• Nicole Deakins, DMD
• Megan Delaney, OTR/L
• Paula Thomas Delong, MA
• Nathanael Desantana, MS
• Julia Rose Dethlefs, DPT
• Devine Concierge Medicine, LLC (Devine Concierge Medicine)
• Michael S. Devine, M.D.
• Karen L Dewane, PT

• Specialist in Wayne, PA
• Providers in Wayne, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.