Derosa Physical Therapy PC
NPI 1164506416ActiveOrganization· Physical Therapist· Flagstaff, AZ
Physical Therapist in Flagstaff, Arizona, registered in NPPES in October 2006. The authorized official on file is Marlene Marie Derosa, PT, Owner.
Overview
| NPI | 1164506416 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2006 |
| Last updated in NPPES | Apr 12, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 767 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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