Michael T, Del Re, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009629A Issued in IN

Practice address

120 Industrial Dr
Lawrenceburg, IN 47025-1116

Phone

(812) 537-5616

Fax

(812) 537-1804

NPI assigned

Jul 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.delre.p1@direct.beaconortho.nextgenshare.com

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.

• Beacon Orthopaedics & Sports Medicine, LTD

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spine & Neuromuscular Associates of Sei PSC

  • Chiropractor
  • Lawrenceburg, IN
  • NPI 1235172552
  Medicare reassignment NPD
• Beacon Orthopaedics & Sports Medicine LTD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1710142609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 INDUSTRIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251116",
            "telephone_number": "812-537-5616",
            "fax_number": "812-537-1804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Alexandria Pike",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410752166",
            "country_code": "US",
            "telephone_number": "859-572-1689",
            "fax_number": "859-441-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEL RE",
        "first_name": "MICHAEL",
        "middle_name": "T,",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005257",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009629A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dearborn County Hospital
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• Dearborn County Surgery PC
• Dearborn Hearing Care LLC
• Dearborn Optical, Inc
• Geneva Dellecave
• Amy Elizabeth Demoss, LMHC
• Rebeca Ann Demoss, CNP
• Brianna Marie Depue
• Michelle Devoe

• Physical Therapist in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.