Active NPI
Michelle Sharon Derosa, OTR/L
- Pediatric Occupational Therapist
- Scottsdale, AZ
National Provider Identifier
1548122336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTH-007630
- Practice address
- 16746 N 111TH St
Scottsdale, AZ 85255-2420 - Phone
- (847) 226-0534
- NPI assigned
- Dec 1, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-007630 | AZ | Primary |
Addresses
Primary practice location
16746 N 111TH St
Scottsdale, AZ 85255-2420
Mailing address
16746 N 111TH St
Scottsdale, AZ 85255-2420
Phone (847) 226-0534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-007630 | AZ | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1548122336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16746 N 111TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552420",
"telephone_number": "847-226-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16746 N 111TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852552420",
"telephone_number": "847-226-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSA",
"first_name": "MICHELLE",
"middle_name": "SHARON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-007630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Dermatology & Skin Surgery Specialists of Arizona, LLC (Dermatology & Skin Surgery Specialists)
- Dermcall LLC
- Cheryl Marie Deroin, N.M.D.
- Derosa Medical, P.C.
- Angela Marie Derosa, D.O.
- Ivette Derose, PHYSICAL THERAPIST
- Joseph Augustine Derose, D.P.M.
- Nicole M Derosier, FNP-BC
- Gail Bass Derscheid, O.D.
- Gary L Derscheid, PT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.