Joan Delusso

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA3959 Issued in ME

Practice address

750 Union St
Bangor, ME 04401-3125

Phone

(207) 942-7336

NPI assigned

Nov 14, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1053880476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013125",
            "telephone_number": "207-942-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013125",
            "telephone_number": "207-942-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "587 N Deer Isle Rd",
            "address_purpose": "LOCATION",
            "city": "Deer Isle",
            "state": "ME",
            "postal_code": "046273438",
            "country_code": "US",
            "telephone_number": "207-348-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELUSSO",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bambi Morgan Delattre, LCSW
• Megan Grant Delbridge
• Sara Deliberty
• Noreen Delorey, PT
• Amanda Deluck, PMHNP
• Heather Lynne Demark
• Claire Demartino, DPT
• Michael John Dematteo I, LCSW
• Craig J Demerchant, LMSW-CC
• Kelly A Demmons

• Physical Therapy Assistant in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.