Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Shannon Dawn Deluca, PT

Individual provider Specialist · NPI 1053630418

Mrs. Shannon Dawn Deluca, PT is a Specialist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1010 Route 112 Ste 200
Port Jefferson Station, NY 11776-3387
Phone: (631) 476-4880
Fax: (631) 476-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028273 (NY)
Specialist Taxonomy 174400000X · Licence 028273 (NY)

Record details

NPI number1053630418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 25, 2010
Last updated in NPPESJune 7, 2016

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