Erik W Deproost, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63984 Issued in OR

Practice address

528 Cottage St NE Ste 203
Salem, OR 97301-3787

Phone

(505) 819-7207

NPI assigned

Aug 11, 2005

Last updated

Jul 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optitune Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1801624853
  NPD Authorized official
• Living Desert Physical Therapy

  • Physical Therapy Clinic/Center
  • Carlsbad, NM
  • NPI 1245267632

  Physical Therapist

  NPD (past)
• Santa Fe Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1417115999
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1417959248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 CROISAN CREEK RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029412",
            "telephone_number": "505-819-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 COTTAGE ST NE STE 203",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013787",
            "telephone_number": "505-819-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPROOST",
        "first_name": "ERIK",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63984",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72727837",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental West Associates PC
• Erik John Denton
• Samuel J Denton, MD
• Aneet Jyot Deo, M.D.
• Jocelyn Ann Depriest
• Heidi Depue, PHD
• Dermatology Clinic PC
• Samuel Derobbio
• Amyah Lynn Derosia-Neal, DOULA
• Monica De Anne Derosier, QMHP, LCSW

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.