Active NPI
Mariana Deluca
- Physical Therapist
- Latham, NY
National Provider Identifier
1447504170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P86341
- Practice address
- 8 Century Hill Dr
Suite 201
Latham, NY 12110-2193 - Phone
- (518) 690-4406
- Fax
- (518) 220-9220
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P86341 | NY | Primary |
Addresses
Primary practice location
8 Century Hill Dr
Suite 201
Latham, NY 12110-2193
Mailing address
8 Century Hill Dr
Suite 201
Latham, NY 12110-2193
Phone (518) 690-4406
Other names 1
- Mariana Barsante
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P86341 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Fitness & Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Watervliet, NY
- NPI 1861484602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1447504170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DR",
"address_2": "SUITE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102193",
"telephone_number": "518-690-4406",
"fax_number": "518-220-9220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DR",
"address_2": "SUITE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102193",
"telephone_number": "518-690-4406",
"fax_number": "518-220-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELUCA",
"first_name": "MARIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P86341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANA",
"last_name": "BARSANTE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.