Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS JAMES DERENZIS
Active Sole ProprietorNICHOLAS JAMES DERENZIS is a Physical Therapy Assistant healthcare provider located in INDEPENDENCE, Virginia. NPI 1720476757 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · INDEPENDENCE, VA
Registration Details
- NPI Number
- 1720476757
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2014 (11.614504673685 yrs)
- Last Updated
- Jul 25, 2018
- Licenses
-
2305205303 (VA)PT003561 (WV)PT 60386876 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 S INDEPENDENCE AVEINDEPENDENCE, VA, 24348Browse VA providers · Browse ZIP 24348
- Phone
- 2767730303
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in INDEPENDENCE, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN DAWN CHILDRESS WORRELL | PT | 1629321583 |
| MR. THOMAS GORDON STONEMAN II | MS, PT | 1770822447 |
| FRANKLIN ISOM | PT | 1740727635 |
| RYAN NIELSON | DPT | 1689187106 |
| BRANDY S RING | DPT | 1063991222 |
| JADE LEANDRIA SHEPHERD | PT, DPT | 1851045793 |
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.