MRS. SHANNON DAWN DELUCA P.T.
NPI 1053630418
Physical Therapist in Port Jefferson Station, NY

Active since May 25, 2010
57.35/100
CMS Quality Rating
1010 ROUTE 112, SUITE 200, PORT JEFFERSON STATION, NY 11776(631) 476-4880(631) 476-4887 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Shannon Dawn Deluca P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON DAWN DELUCA P.T. (NPI 1053630418) is an individual physical therapist in Port Jefferson Station, New York, licensed in New York (028273) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1053630418
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. SHANNON DAWN DELUCACredential: P.T.
Location Address1010 ROUTE 112, SUITE 200Port Jefferson Station, NY 11776-3387
Mailing Address1010 Route 112, Suite 200Port Jefferson Station, NY 11776-3387 · (631) 476-4880 · Fax (631) 476-4887
Fax(631) 476-4887
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateJune 7, 2016
NPI 1053630418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 028273
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedSpecialistTaxonomy 174400000X · License 028273 (NY)
1010 ROUTE 112, Port Jefferson Station, NY 11776

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

57.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.2
Improvement Activities20

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Licensed Practical Nurse
1010 ROUTE 112, 210
PORT JEFFERSON STATION, NY 11776
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Physical Therapist
1010 ROUTE 112, SUITE 200
PORT JEFFERSON STATION, NY 11776
Eyewear Supplier
1010 ROUTE 112, SUITE 300
PORT JEFFERSON STATION, NY 11776
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Deluca's NPI number?

The NPI number for Shannon Deluca is 1053630418. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Shannon Deluca located?

Shannon Deluca practices at 1010 Route 112 Suite 200, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-4880.

What is Shannon Deluca's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Shannon Deluca was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.