Active NPIIndividual providerSole proprietor

Mr. Derek Derose

Occupational Therapist in China, Maine

NPI Number1912320011
Practice location
680 Pleasant View Ridge RD, China, ME 04358-4420
Fax
—
Last updated
January 24, 2014

Derek Derose is an Occupational Therapist based in China, ME. Derek Derose practices in China, ME. The NPI Number for Derek Derose is 1912320011 and holds a License No. 4186 (CT). The current practice location address for Derek Derose is 680 Pleasant View Ridge RD, China, ME 04358-4420 and can be reached out via phone at 207-620-6544.

Provider Profile Details

NPI Number
1912320011
Provider Name
Derek Derose
Provider Entity Type
Individual
Gender
Male
Address
680 Pleasant View Ridge RD, China, ME 04358-4420
Phone Number
207-620-6544
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 24, 2014
Last Update Date
January 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Pleasant View Ridge RD
China, ME 04358-4420
City
China
State
Maine
Zip
04358-4420
Phone Number
207-620-6544
China, ME 04358Get directions →

Provider Business Mailing Address Details

Address
680 Pleasant View Ridge RD
China, ME 04358-4420
City
China
State
ME
Zip
04358-4420
Phone Number
207-620-6544

License Information

License Number
4186
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · 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 Mr. Derek Derose?

The NPI number of Mr. Derek Derose is 1912320011. It was assigned on January 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Mr. Derek Derose?

Mr. Derek Derose is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 4186.

Where does Mr. Derek Derose practice?

The practice location is 680 Pleasant View Ridge RD, China, ME 04358-4420. The office can be reached at 207-620-6544 (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 1912320011 directly on the NPPES registry website.

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