Paul Michael Deluca, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019623 Issued in PA

Practice address

2101 S Columbus Blvd
Pennsport Physical Therapy
Philadelphia, PA 19148-2805

Phone

(215) 467-4660

Fax

(215) 467-8879

NPI assigned

Jan 20, 2009

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment Care Compare group NPD
• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Pennsylvania Luna Care Physical Therapy LLC

  • Physical Therapist
  • Horsham, PA
  • NPI 1528689445
  Medicare reassignment NPD
• Pennsport Physical Therapy Inc

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1023018793
  NPD

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1861639320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S COLUMBUS BLVD",
            "address_2": "PENNSPORT PHYSICAL THERAPY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482805",
            "telephone_number": "215-467-4660",
            "fax_number": "215-467-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S COLUMBUS BLVD",
            "address_2": "PENNSPORT PHYSICAL THERAPY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482805",
            "telephone_number": "215-467-4660",
            "fax_number": "215-467-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Ann Deluca Fink, PA-C
• Dena Marie Deluca
• John Edward Deluca, OTR/L
• Nastasia Deluca
• Nicholas Joseph Deluca III, MD/MBA
• Peter Francis Deluca, M.D.
• Stephen Richard Deluca, LMFT
• Virginia Y. Deluca, RN
• Gabrielle Quinn Delucca
• Margaret Alayna Delucia, DPT

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.