Active NPIIndividual provider

Miss Kelly Deruvo, DPT

Physical Therapist in Kingston, New Hampshire

NPI Number1700963477
Practice location
148 Main St, Kingston, NH 03848-3222
Fax
—
Last updated
October 18, 2019

Kelly Deruvo is a Physical Therapist based in Kingston, NH. Kelly Deruvo practices in Kingston, NH and has the professional credentials of DPT. The NPI Number for Kelly Deruvo is 1700963477 and holds a License No. 1223120 (TX). The current practice location address for Kelly Deruvo is 148 Main St, Kingston, NH 03848-3222 and can be reached out via phone at 516-594-1212.

Provider Profile Details

NPI Number
1700963477
Provider Name
Kelly Deruvo
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
148 Main St, Kingston, NH 03848-3222
Phone Number
516-594-1212
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
October 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
148 Main St
Kingston, NH 03848-3222
Zip
03848-3222
Phone Number
516-594-1212
Kingston, NH 03848Get directions →

Provider Business Mailing Address Details

Address
17 Parsons Way
Kingston, NH 03848-3657
City
Kingston
State
NH
Zip
03848-3657

License Information

License Number (1)
1223120
License State (1)
TX
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
026447-1
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
4194
License State (3)
NH
Taxonomy (3)
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 Miss Kelly Deruvo, DPT?

The NPI number of Miss Kelly Deruvo, DPT is 1700963477. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Miss Kelly Deruvo, DPT?

Miss Kelly Deruvo, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in TX under license number 1223120.

Where does Miss Kelly Deruvo, DPT practice?

The practice location is 148 Main St, Kingston, NH 03848-3222. The office can be reached at 516-594-1212 (phone).

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 1700963477 directly on the NPPES registry website.

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