Deanna Marie Derrenbacker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046322 Issued in NY

Practice address

6800 E Genesee St
Fayetteville, NY 13066-1089

Phone

(315) 635-5000

Fax

(315) 446-1816

NPI assigned

Sep 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Engage PT OT and SLPGroup PAC ID 0143645192, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Engage PT OT and SLP

  • Physical Therapist
  • Syracuse, NY
  • NPI 1841813805
  Medicare reassignment Care Compare group NPD
• Neuro Fit PT and SLP PLLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1851921597
  NPD (past)
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Baldwinsville, NY
  • NPI 1548367139
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1619583945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661089",
            "telephone_number": "315-635-5000",
            "fax_number": "315-446-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 E Genesee St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130272544",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-635-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERRENBACKER",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE FROM OFFICE OF PROFESSIONS",
            "identifier": "046322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Bassett De la Garza, MSW, LCSW
• Maryanne Delaney, RN
• Erika Delisle, PA-C
• Denis F Branson MD Professional Corporation
• Denise C. Wolken, MD PLLC
• Prashant Prakash Deshmane, MD
• William J Dibble, DO
• Grace Digiovanni
• Scott Dillingham, D.D.S.
• Thomas Ditch, PHARMD

• Physical Therapist in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.