RYAN MICHAEL DEROSE (NPI# 1902142755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902142755 |
| Entity Type | Individual |
| Full Name | RYAN MICHAEL DEROSE |
| Credential | DPT |
| Practice Address |
2500 Overlook Ter Madison WI 53705-2254 |
| Practice Telephone | 6082807036 |
| Practice Fax Number | 6082807079 |
| Mailing Telephone | 6082807036 |
| Mailing Fax Number | 6082807079 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 12121-24 | WI | Hospitals |
| Street Address |
2500 OVERLOOK TER |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
| 1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
| 1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
| 1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
| 1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
| 1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1437627577 | Atlantic Rehabilitation Institute, LLC | Rehabilitation Hospital | 200 Madison Avenue, Madison, NJ 07940 | 2018-11-07 |
| 1043501901 | Bridget Kari Gracner | Rehabilitation Hospital | 202 S Park St, Madison, WI 53715-1507 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209140 | Milwaukee Rehabilitation Hospital At Greenfield, LLC | Rehabilitation Hospital | 3200 S 103rd St, Milwaukee, WI 53227-4104 | 2020-03-05 |
| 1235678319 | Patrick Luebke | Rehabilitation Hospital | 6725 Century Ave, Middleton, WI 53562-1727 | 2017-02-22 |
| 1417120197 | Rehabilitation Hospital of Wisconsin, LLC | Rehabilitation Hospital | 1625 Coldwater Creek Drive, Waukesha, WI 53188-5031 | 2008-04-02 |
| 1043752868 | St Elizabeth Hospital | Rehabilitation Hospital | 1506 S Oneida St, Appleton, WI 54915-1305 | 2016-11-10 |
| 1134661952 | St Elizabeth Hospital | Rehabilitation Hospital | 1506 S Oneida St, Appleton, WI 54915-1305 | 2016-11-10 |
| 1447626924 | Donald Schraufnagel | Rehabilitation Hospital | 800 Compassion Way, Dodgeville, WI 53533-1956 | 2015-08-19 |
| 1811394877 | Aurora Baycare | Rehabilitation Hospital | 1160 Kepler Dr, Green Bay, WI 54311-8321 | 2014-11-19 |
| 1508289018 | Dove Healthcare | Rehabilitation Hospital | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-02-04 |
| 1245576347 | Monroe Clinic | Rehabilitation Hospital | 515 22nd Ave, Monroe, WI 53566-1569 | 2012-12-17 |
| 1649514951 | Sacret Heart Rehabilitation Institute | Rehabilitation Hospital | 2323 N Lake Dr, Milwaukee, WI 53211-4508 | 2012-11-27 |
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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.