Active NPIIndividual provider

Mrs. Susan M Derosa, PT

Physical Therapist in Lowell, Massachusetts

NPI Number1780926469
Practice location
166 Central St, Lowell, MA 01852-1910
Fax
—
Last updated
February 1, 2019

Susan M Derosa is a Physical Therapist based in Lowell, MA. Susan M Derosa practices in Lowell, MA and has the professional credentials of PT. The NPI Number for Susan M Derosa is 1780926469 and holds a License No. 5324 (MA). The current practice location address for Susan M Derosa is 166 Central St, Lowell, MA 01852-1910 and can be reached out via phone at 978-722-0177.

Provider Profile Details

NPI Number
1780926469
Provider Name
Susan M Derosa
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
166 Central St, Lowell, MA 01852-1910
Phone Number
978-722-0177
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2013
Last Update Date
February 1, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Central St
Lowell, MA 01852-1910
City
Lowell
Zip
01852-1910
Phone Number
978-722-0177
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
6 Elizabeth Ln
Salem, NH 03079-1348
City
Salem
State
NH
Zip
03079-1348
Phone Number
603-894-5170

License Information

License Number (1)
5324
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
1541
License State (2)
NH
Taxonomy (2)
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 Mrs. Susan M Derosa, PT?

The NPI number of Mrs. Susan M Derosa, PT is 1780926469. It was assigned on March 20, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan M Derosa, PT?

Mrs. Susan M Derosa, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 5324.

Where does Mrs. Susan M Derosa, PT practice?

The practice location is 166 Central St, Lowell, MA 01852-1910. The office can be reached at 978-722-0177 (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 1780926469 directly on the NPPES registry website.

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