Erin Michelle Derosia, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5405 Issued in OR

Practice address

2005 Elm St
Ste 200
Forest Grove, OR 97116-2518

Phone

(503) 357-9810

Fax

(503) 357-9819

NPI assigned

Jul 19, 2007

Last updated

Nov 7, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD (past)
• Therapeutic Associates Inc

  dba TAI Forest Grove Physical Therapy

  • Physical Therapist
  • Forest Grove, OR
  • NPI 1477539765
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1942400833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "STE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "503-443-6156",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 ELM ST",
            "address_2": "STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162518",
            "telephone_number": "503-357-9810",
            "fax_number": "503-357-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSIA",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Xuan Dang
• Yen Dang
• Maud Darger, BSN, RN, PA-STUDENT
• Robert R. Davidson, M.DIV., M.ED., LMFT
• Rosaisela Delgado Ferreyra
• Steven Raymond Dierickx, DMD
• Margaret Digiulian
• Rachel Lucinda Erin Dilly, SLP
• Lois Elizabeth Yevdalcia Dimick, LMT
• Jobe Hoang Dinh

• Physical Therapist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.