Lauren Derby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39943 Issued in CA

Practice address

901 Sir Francis Drake Blvd
Ste B
Kentfield, CA 94904-1502

Phone

(415) 237-4448

Fax

(415) 805-2648

NPI assigned

Jul 2, 2013

Last updated

Jan 23, 2020By the provider in NPPES

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 names 1

• Lauren Malachowski Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Physical Therapy

  • Physical Therapy Clinic/Center
  • Kentfield, CA
  • NPI 1780935411

  Physical Therapist

  NPD
• Pleasanton Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Pleasanton, CA
  • NPI 1285044693
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1790125847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD",
            "address_2": "STE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-237-4448",
            "fax_number": "415-805-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD",
            "address_2": "STE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-237-4448",
            "fax_number": "415-805-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBY",
        "first_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MALACHOWSKI",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danila Musante
• Kelsey Faith Diane Darnielle
• Leslie Dunn Davenport, MFT
• Suzanna De Sanz, LMFT
• Ann Marie Deltredici, M.S., R.D.
• Joan Leslie Difuria, MFT
• Ilene L. Dillon, M.S.W.
• Boyka Dimitrova
• Deborah Doherty, M.D.
• Angela Claire Dotson, LMFT 112318

• Physical Therapist in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.