Active NPIIndividual providerSole proprietor

Derek A Deluca, PT, DPT, CSCS

Physical Therapist in Sudbury, Massachusetts

NPI Number1578045027
Practice location
141 Boston Post RD, Sudbury, MA 01776-2405
Fax
978-440-8117
Last updated
November 18, 2019

Derek Alexander Deluca is a Physical Therapist based in Sudbury, MA. Derek Alexander Deluca practices in Sudbury, MA and has the professional credentials of PT, DPT, CSCS. The NPI Number for Derek Alexander Deluca is 1578045027 and holds a License No. 5501018825 (MI). The current practice location address for Derek Alexander Deluca is 141 Boston Post RD, Sudbury, MA 01776-2405 and can be reached out via phone at 978-295-5306 and via fax at 978-440-8117.

Provider Profile Details

NPI Number
1578045027
Provider Name
Derek Alexander Deluca
Credential
PT, DPT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
141 Boston Post RD, Sudbury, MA 01776-2405
Phone Number
978-295-5306
Fax Number
978-440-8117
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2018
Last Update Date
November 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Boston Post RD
Sudbury, MA 01776-2405
Zip
01776-2405
Phone Number
978-295-5306
Fax Number
978-440-8117
Sudbury, MA 01776Get directions →

Provider Business Mailing Address Details

Address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
City
Ann Arbor
State
MI
Zip
48109-5000
Phone Number
734-936-7070

License Information

License Number (1)
5501018825
License State (1)
MI
Taxonomy (1)
Physical Therapist, Orthopedic · 2251X0800X
License Number (2)
24645
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Derek A Deluca, PT, DPT, CSCS?

The NPI number of Derek A Deluca, PT, DPT, CSCS is 1578045027. It was assigned on August 31, 2018 and is currently active in the NPPES registry.

What is the specialty of Derek A Deluca, PT, DPT, CSCS?

Derek A Deluca, PT, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MI under license number 5501018825.

Where does Derek A Deluca, PT, DPT, CSCS practice?

The practice location is 141 Boston Post RD, Sudbury, MA 01776-2405. The office can be reached at 978-295-5306 (phone) or 978-440-8117 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578045027 directly on the NPPES registry website.

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