Tina M Deluca, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013013 Issued in IL

Practice address

20060 Governors Dr
Olympia Fields, IL 60461-1029

Phone

(708) 283-2600

Fax

(708) 283-1250

NPI assigned

Aug 20, 2006

Last updated

Feb 8, 2024By 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 names 1

• Tina M Deluca Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IEDEBA/Endpoint/IEDEBA

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.

• Sports and Ortho P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1871640565
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1861507741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR STE 300",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611099",
            "telephone_number": "708-283-2600",
            "fax_number": "708-283-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20060 GOVERNORS DR",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611029",
            "telephone_number": "708-283-2600",
            "fax_number": "708-283-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "DELUCA",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dean Earl Burchenson, D.C., P.C.
• Christina Susi Deangelis, D.O.
• Melissa Debartolo
• Decker Medical Associates LTD
• Linda Dee, CRNA
• Sandra E Dempsey, R.D.
• Bipin Desai
• Rinky Desai, MD
• Aradhika Deswal, MD
• Sangeet Dhillon-Jhattu, M.D.

• Physical Therapist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.