Richard Allan Derrickson, PHYSICAL THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

004340 Issued in NY

Practice address

315 W 55TH St
Apt. 3a
New York, NY 10019-4503

Phone

(212) 247-2745

NPI assigned

May 7, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• D and H PT OT PLLC

  • Occupational Therapist
  • New York, NY
  • NPI 1629940994

  Physical Therapist

  NPD

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437362415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 55TH ST",
            "address_2": "APT. 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194503",
            "telephone_number": "212-247-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 55TH ST",
            "address_2": "APT. 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194503",
            "telephone_number": "212-247-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICKSON",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019749",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "004340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Derosa, NP
• Rosemary Derosa, RN
• Gia Derose, DO
• Miryam Maribel Derosso
• Stephen Deroux
• Anna Lisa Derrien, M.D.
• Kendall Helene Derry
• Carol Dersarkissian, MD
• Goldie Dersh, LCSW, PHD
• D David Dershaw, MD

• Massage Therapist in New York, NY
• Providers in New York, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.