Alexandra Kristen Derosia, DPT
Individual provider Active NPI Physical Therapist · Damariscotta, ME
NPI 1639725922 · NPPES record last updated Aug 13, 2019
Key facts
- NPI
- 1639725922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT5397 (ME)
- Practice address
- 35 Miles St
Damariscotta, ME 04543-4047 - Phone
- (207) 563-4518
- Fax
- (207) 563-4350
- NPI assigned
- Aug 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5397 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT5397 | ME | Yes |
Addresses
Primary practice location
35 Miles St
Damariscotta, ME 04543-4047
Mailing address
35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-4518
Other providers in Damariscotta, ME
- Lisa Marie Dayringer
- Phyllis A. Degen
- Molly Delaney
- Julie Delory
- Traci Lynn Dempsey
- Haley E Doak
- Donalee Dolan
- Gail Donahue Pepin
- Kathleen E Donnelly
- Ryan Thomas Donohue
All providers in Damariscotta, ME · Physical Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.