Active NPI
Ann Derosa, PT
- Physical Therapist
- Vero Beach, FL
National Provider Identifier
1417222563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 16071
- Practice address
- 7190 17TH St
Vero Beach, FL 32966-1290 - Phone
- (772) 321-0161
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 16071 | FL | Primary |
Addresses
Primary practice location
7190 17TH St
Vero Beach, FL 32966-1290
Mailing address
7190 17TH St
Vero Beach, FL 32966-1290
Phone (772) 321-0161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7190 17TH St
Vero Beach, FL 32966-1290
Phone (772) 321-0161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 16071 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance RX, LLC | Physical Therapist | Current | Accepting new patients |
| Indian River Primary Care | Past | Accepting new patients |
Locations
2160 58th Ave
Vero Beach, FL 32966
Phone (845) 803-9267
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HECFAD
Organizations & group practices 2
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.
-
- Physical Therapist
- Vero Beach, FL
- NPI 1447913975
-
- Specialist
- Vero Beach, FL
- NPI 1023192507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1417222563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7190 17TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661290",
"telephone_number": "772-321-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7190 17TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329661290",
"telephone_number": "772-321-0161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSA",
"first_name": "ANN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-21",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 16071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Dental Service Group LLC
- Brian J Deonarine, MD
- Dermody Pediatric Dentistry & Orthodontics
- Christopher Mark Dermody, DMD
- Francis Joseph Dermody Jr., DMD
- Joyce E Desrosiers, O.D.
- Kelly Lynne Destefano, COTA/L
- Catherine Calhoun Detko, LMHC, NCC, CP
- Dgasmd Anesthesia Consultants LLC
- Diabetes and Endocrine Associates of the Treasure Coast LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.