Individual provider Active NPI

Isabella Derderian, PT

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1447122999
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43849 Issued in FL
Practice address
5325 Greenwood Ave Ste 101
West Palm Beach, FL 33407-2452
Phone
(561) 844-5255
Fax
(561) 844-5245
NPI assigned
Sep 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT43849 FL Primary

Addresses

Primary practice location

5325 Greenwood Ave Ste 101
West Palm Beach, FL 33407-2452

Mailing address

PO Box 20802
Belfast, ME 04915-4105
Phone (888) 402-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029000623 FL Practitioner - Physical Therapist in Private Practice 7416446653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14201 Dallas Pkwy
Dallas, TX 75254-2916

PO Box
Suite 20808
Belfast, ME 04915-4105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Oct 6, 2025 Accepting new patients
Tenet Florida Physician Services LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC Physical Therapist Current Accepting new patients

Locations

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

5325 Greenwood Ave
Ste 101
West Palm Beach, FL 33407
Phone (561) 830-6093

5325 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 736-7313

Interoperability endpoints

  • Direct secure messaging: isabella.derderian.1@13023.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1447122999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20802",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE STE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-844-5255",
            "fax_number": "561-844-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERDERIAN",
        "first_name": "ISABELLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.