Heather Nicole Derenick, DPT
Individual provider Active NPI Physical Therapist · Spring Grove, PA
NPI 1700367000 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1700367000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT027106 (PA)
- Practice address
- 488 N Main St
Spring Grove, PA 17362-1122 - Phone
- (717) 690-0107
- Fax
- (717) 974-8743
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LHM Physical Therapy Institute LLC
Practice addresses (Care Compare)
2251 Palomino Rd
Unit 200
Dover, PA 17315-3648
Phone (717) 534-3584
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180921001157 | PA | Practitioner - Physical Therapist in Private Practice | 8224389788 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHM Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| LHM Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| LHM Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Oss Orthopaedic Hospital, LLC | Current |
Accepting new patients | |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Oss Orthopaedic Hospital, LLC | Current |
Accepting new patients | |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current |
Accepting new patients |
| Oss Orthopaedic Hospital, LLC | Current | Accepting new patients | |
| LHM Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
120 N Baltimore St
#110
Dillsburg, PA 17019
Phone (717) 501-3100
2251 Palomino Rd
Unit 200
Dover, PA 17315
Phone (717) 534-3584
470 Eisenhower Dr
Hanover, PA 17331
Phone (717) 633-0031
4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342
558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344
1805 Loucks Rd
Ste 200
York, PA 17408
Phone (717) 764-0144
1855 Powder Mill Rd
York, PA 17402
1861 Powder Mill Rd
Ofc
York, PA 17402
Phone (717) 718-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT027106 | PA | Yes |
Addresses
Primary practice location
488 N Main St
Spring Grove, PA 17362-1122
Mailing address
4750 Lindle Rd Ste 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342
Other providers in Spring Grove, PA
- Linae Sherri Carrington
- Divay Chaudhry
- Childen'S Community Care
- Rita Jane Clayton
- Adia Joy Crawford
- Courtney Descheemaeker
- DGB Behavioral Health LLC
- Drayer Physical Therapy Institute LLC
- Kristin Clift Duvall
- Everside Health LLC-Rocket Wellness Center
All providers in Spring Grove, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.