Elizabeth Deluca, PT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT05463 Issued in OH

Practice address

145 Smokerise Dr
Wadsworth, OH 44281-8702

Phone

(330) 335-4200

Fax

(330) 335-7131

NPI assigned

Oct 21, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Wadsworth Family Physical Therapy Inc

  • Physical Therapist
  • Wadsworth, OH
  • NPI 1811986847

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376532382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818702",
            "telephone_number": "330-335-4200",
            "fax_number": "330-335-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SMOKERISE DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818702",
            "telephone_number": "330-335-4200",
            "fax_number": "330-335-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ELIZABETH",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT05463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2294002",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lyn Daugherty, STNA/HHA
• Hannah Daulbaugh
• Susan Dawson, DOO
• Lindsay M Dean, DDS
• Megan Lynn Dean, ATC
• Jyoti S Deoras, M.D.
• Mika Derifield
• Anna B Desrosiers, MBA
• Nickolas M Desrosiers
• Discount Drug Mart Inc

• All providers in Wadsworth, OH
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.