Individual provider Active NPI

Victor Samuel Derosa

  • Physical Therapist
  • Pompano Beach, FL
National Provider Identifier
1730699067
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT872122 Issued in DC
Practice address
900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371
Phone
(754) 307-7024
Fax
(754) 307-1993
NPI assigned
Sep 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT872122 DC Primary

Addresses

Primary practice location

900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371

Mailing address

900 E Atlantic Blvd Ste 11
Pompano Beach, FL 33060-7371
Phone (754) 307-7024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909000756 FL Practitioner - Physical Therapist in Private Practice 5092044644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Devoted Physical TherapyGroup PAC ID 9537585732, 7 clinicians

Practice addresses (Care Compare)

900 E Atlantic Blvd
Suite 11
Pompano Beach, FL 33060-7371
Phone (754) 307-7024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT872122DCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Rehabilitation Center Current Accepting new patients
Atlantic Rehabilitation Center CurrentSince Feb 3, 2020 Accepting new patients
Devoted Physical Therapy Physical Therapist CurrentSince Jul 8, 2020 Accepting new patients
Devoted Medical Equipment PLLC Physical Therapist CurrentSince Jul 8, 2020 Accepting new patients

Locations

16249 Biscayne Blvd
Aventura, FL 33160
Phone (305) 405-0400

10075 S Jog Rd
Ste 103
Boynton Beach, FL 33437
Phone (561) 903-0289

11870 Sr 84
Bldg C3
Davie, FL 33325
Phone (954) 474-3611

17900 NW 5th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 251-0733

900 E Atlantic Blvd
Ste 11
Pompano Beach, FL 33060
Phone (754) 307-7024

50 NE 26th Ave
Ste 311
Pompano Beach, FL 33062
Phone (754) 307-7024

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730699067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC BLVD STE 11",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607371",
            "telephone_number": "754-307-7024",
            "fax_number": "754-307-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E ATLANTIC BLVD STE 11",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607371",
            "telephone_number": "754-307-7024",
            "fax_number": "754-307-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "VICTOR",
        "middle_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT872122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.