Michelle C Derue, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1000 Providence Cir
Rochester, NY 14616-4349

Phone

(585) 865-0680

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1376360685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HEATHERWOOD RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501131",
            "telephone_number": "585-975-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PROVIDENCE CIR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164349",
            "telephone_number": "585-865-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERUE",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Derose, CASAC
• Patrick A Derose, D.D.S.
• Shannon Derose, RPA-C
• Martha Ellen Derosia, FNP
• Susan M Derrick, RN
• Victoria Derue, PNP
• Diane Deruyter, LMHC
• Carol Marie Derycke, RN, BSN
• Melissa M Desa, MD
• Neesha Samir Desai, MD

• Occupational Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.