AMANDA R DEROSA (NPI# 1134319700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134319700 |
| Entity Type | Individual |
| Full Name | AMANDA R DEROSA |
| Credential | DPT |
| Practice Address |
1485 N Turquoise Dr Ste 220 Flagstaff AZ 86001-2000 |
| Mailing Address |
Po Box 43085 Tucson AZ 85733-3085 |
| Practice Telephone | 5203210204 |
| Practice Fax Number | 8662819515 |
| Mailing Telephone | 5203210204 |
| Mailing Fax Number | 8662819515 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7738 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | RAILROAD MEDICARE | P00432914 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275883373 | Amanda Fay Derosa | Registered Nurse | 134 W Satin St, Jefferson, OH 44047-1339 | 2012-09-16 |
| 1033598925 | Amanda Derosa | Occupational Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2015-05-25 |
| Street Address |
1485 N TURQUOISE DR STE 220 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454702 | Yuri Lewicky | Orthopaedic Surgery | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2005-06-01 |
| 1326500471 | Kathryn Michelle Earhart | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2019-04-05 |
| 1114307741 | Amber Kristine Miller | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2015-06-09 |
| 1649668781 | Northern Arizona Healthcare Orthopedic Surgery Center, LLC | Clinic/Center | 1485 N Turquoise Dr, Suite 100, Flagstaff, AZ 86001-1398 | 2014-12-23 |
| 1073925939 | Ryan David Guy | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2014-05-27 |
| 1457785107 | Emily Wevodau | Physical Therapy Assistant | 1485 N Turquoise Dr, Suite 220, Flagstaff, AZ 86001-1398 | 2013-08-29 |
| 1578996369 | Monika Rochelle Swanson | Specialist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2013-08-15 |
| 1457610438 | Chad William Norris | Physician Assistant | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2012-05-10 |
| 1952672057 | Chelsie M. Word | Physician Assistant | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2012-01-20 |
| 1114155462 | Brian Charles Schmitz | Physical Therapist | 1485 N Turquoise Dr, Flagstaff, AZ 86001-1398 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629605803 | Kathryn Roos | Physical Therapist | 1718 W Kaibab Ln, Flagstaff, AZ 86001-2505 | 2020-03-26 |
| 1376002907 | Thrive In Place, LLC | Physical Therapist | 2610 S Highland Mesa Rd, Flagstaff, AZ 86001-2985 | 2019-03-13 |
| 1790262715 | Peak Therapy LLC | Physical Therapist | 8380 N Fleming Dr, Flagstaff, AZ 86004-6247 | 2018-07-23 |
| 1003315110 | Tarang Kumar Jain | Physical Therapist | 208 Pine Knoll Dr Bldg 66, Flagstaff, AZ 86011-0001 | 2018-02-03 |
| 1598272676 | Kameron James Harder | Physical Therapist | 1510 S Riordan Ranch St, Flagstaff, AZ 86001-6372 | 2018-01-10 |
| 1629595756 | Mesa Health Services, LLC | Physical Therapist | 1750 S Railroad Springs Blvd Ste 3, Flagstaff, AZ 86001-8720 | 2017-08-29 |
| 1881122109 | Brian Kinslow | Physical Therapist | 408 E Route 66, Flagstaff, AZ 86001-5254 | 2017-05-31 |
| 1134524234 | The Physio Shop LLC | Physical Therapist | 1510 S. Riordan Ranch St., Flagstaff, AZ 86001 | 2014-10-31 |
| 1568871366 | J Wynne Geikenjoyner | Physical Therapist | 4247 Canyon Loop, Flagstaff, AZ 86005-3726 | 2014-08-05 |
| 1710392063 | Lori L Pearlmutter | Physical Therapist | 2334 W Blue Willow Rd, Flagstaff, AZ 86001-0995 | 2014-06-25 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.