Active NPI
Desirea D Caucci, DPT
- Physical Therapist
- Conshohocken, PA
National Provider Identifier
1881699213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015693
- Practice address
- 814 Fayette St
Conshohocken, PA 19428-1709 - Phone
- (610) 828-7595
- Fax
- (610) 828-7505
- NPI assigned
- Jun 13, 2005
- 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 | PT015693 | PA | Primary |
Addresses
Primary practice location
814 Fayette St
Conshohocken, PA 19428-1709
Mailing address
217 S Tyson Ave
Glenside, PA 19038-3413
Phone (215) 630-9797
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630094 | Other | PA | FIRST HEALTH |
| C01732275 | Other | PA | HIGHMARK BLUE SHIELD |
| 1417588 | Other | PA | HIGHMARK BS INDIVIDUAL |
| 3498858 | Other | PA | AETNA NON-PARTICIPATING # |
| 737511 | Other | PA | NCPPO |
| 7385670 | Other | PA | AETNA WC INDIVIDUAL |
| 8279722 | Other | PA | CIGNA |
| 1732275 | Other | PA | HIGHMARK BS GROUP # |
| 700260 | Other | PA | UNITED HEALTHCARE/ACN GR |
| 017588 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| 2402306 | Other | PA | INDEPENDENCE BC GROUP # |
| 7051525 | Other | PA | AETNA WORKERS COMP |
| 0220700 | Other | PA | ORTHONET |
| 2103996000 | Other | PA | INDEPENDENCE BC INDIVIDUA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015693 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Circle Consulting, Inc. | Physical Therapist | Past | Accepting new patients |
| Core Performance and Rehabilitation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Conshohocken, PA
- NPI 1912091190
-
- Physical Therapist
- Philadelphia, PA
- NPI 1841467388
-
- Physical Therapist
- Newtown, PA
- NPI 1154450401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881699213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 S TYSON AVE",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190383413",
"telephone_number": "215-630-9797",
"fax_number": "610-828-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 FAYETTE ST",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281709",
"telephone_number": "610-828-7595",
"fax_number": "610-828-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUCCI",
"first_name": "DESIREA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT015693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5630094",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "C01732275",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS INDIVIDUAL",
"identifier": "1417588",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON-PARTICIPATING #",
"identifier": "3498858",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "737511",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA WC INDIVIDUAL",
"identifier": "7385670",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8279722",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS GROUP #",
"identifier": "1732275",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/ACN GR",
"identifier": "700260",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "017588",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC GROUP #",
"identifier": "2402306",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA WORKERS COMP",
"identifier": "7051525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "0220700",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BC INDIVIDUA",
"identifier": "2103996000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.