Delinard Sibbaluca

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1301 21St St
Peru, IL 61354-1359

Phone

(815) 223-4901

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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)

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.

• City Center Physical Therapy - Peru, Inc.

  • Physical Therapist
  • Peru, IL
  • NPI 1043362965
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659499093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W ROMINES CIR",
            "city": "DALZELL",
            "state": "IL",
            "postal_code": "613209750",
            "telephone_number": "815-223-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 21ST ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541359",
            "telephone_number": "815-223-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBALUCA",
        "first_name": "DELINARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Selquist, M.S., CCC-SLP/L
• Timothy R Semlow, PT
• Michelle Serpico, APRN
• Kristie L Shin, PA-C
• Tiffany Ann Shinnick
• Moira Sibbaluca
• Katherine Elizabeth Siembab
• Spalding L Slevin IV, PT, CMPT
• Amy Lynn Smith, APN
• Christopher Shane Smith

• Physical Therapist in Peru, IL
• Providers in Peru, IL by specialty
• Physical Therapist in Illinois

• 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.