Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DERUE, PT
Active Sole ProprietorNICOLE DERUE, PT is a Physical Therapy Assistant healthcare provider located in CENTRAL SQUARE, New York. NPI 1629135371 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CENTRAL SQUARE, NY
Registration Details
- NPI Number
- 1629135371
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.625074447281 yrs)
- Last Updated
- Nov 29, 2007
- License
-
0281751 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
573 S MAIN STCENTRAL SQUARE, NY, 130369785Browse NY providers · Browse ZIP 13036
- Phone
- 3156763826
- Fax
- 3156763402
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CENTRAL SQUARE, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID ALAN POVLOCK | PT | 1205927845 |
| JOHN KENNETH KUSS | PT, DPT, MTC | 1285783647 |
| HEIDI LYNNE HATHAWAY | MS, PT | 1316096100 |
| MRS. JENNIFER HOMER ECKARDT | MS PT | 1326179888 |
| MRS. ELIZABETH ELLEN LANNIER | PT | 1104095926 |
| ALLISON AMY BRONNER | — | 1255569646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.