Gary L Derscheid, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

722 Issued in AZ

Practice address

5320 E Shea Blvd
Scottsdale, AZ 85254-5749

Phone

(480) 596-6999

Fax

(480) 596-9555

NPI assigned

Jul 13, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Arizona Sports Physical Therapy LTD

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1013997246
  NPD (past) Authorized official
• Kinect Physical Therapy, PLLC

  • Physical Therapist
  • Chandler, AZ
  • NPI 1811265929
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871591875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545749",
            "telephone_number": "480-596-6999",
            "fax_number": "480-596-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545749",
            "telephone_number": "480-596-6999",
            "fax_number": "480-596-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSCHEID",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Sharon Derosa, OTR/L
• Ivette Derose, PHYSICAL THERAPIST
• Joseph Augustine Derose, D.P.M.
• Nicole M Derosier, FNP-BC
• Gail Bass Derscheid, O.D.
• Jennifer L Derse, DDS
• Des Moines Specialized Care (Specialized Assisted Living, LLC)
• Janki Desai, MD
• Rahul A Desai, MD
• Rini Manoj Desai, MD

• Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.