Michael A Derubertis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03590 Issued in OH

Practice address

3866 Carnegie Ave
Cleveland, OH 44115-2718

Phone

(216) 621-0022

Fax

(216) 621-5479

NPI assigned

May 22, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

59.13

Promoting interoperability

99

Improvement activities

40

Cost

75.81

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Ohio Medical Specialists LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1225085855
  Medicare reassignment Care Compare group NPD
• Northern Ohio Medical Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lorain, OH
  • NPI 1952281511
  NPD
• Northern Ohio Medical Specialists, LLC

  • Radiology Clinic/Center
  • Sheffield Village, OH
  • NPI 1508811332
  NPD (past)
• Tricounty Physical Therapy

  • Physical Therapist
  • Medina, OH
  • NPI 1447203039
  NPD (past)
• Tricounty Physical Therapy Inc

  • Physical Therapist
  • North Royalton, OH
  • NPI 1992758692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1013961911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3866 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152718",
            "telephone_number": "216-621-0022",
            "fax_number": "216-621-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152718",
            "telephone_number": "216-621-0022",
            "fax_number": "216-621-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUBERTIS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT03590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony L Deross, M.D.
• Lily Jay Derrick
• Darla D Derrickson, CDCA QMHS CMS
• Xavier Ricardo Derrico
• Ronnie D. Derrwaldt, D.O.
• Muhiddin Dervis, MD
• Mario Dervishi
• Kendall Matthew Des Vignes, MD
• Ankita Patel Desai, MD
• Arusha Desai, MD

• Physical Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.