KATIE DEROO (NPI# 1700283249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700283249 |
| Entity Type | Individual |
| Full Name | KATIE DEROO |
| Credential | D.P.T. |
| Practice Address |
235 Wealthy St Se Grand Rapids MI 49503-5247 |
| Mailing Address |
5867 Walnut Ridge Dr Sw Wyoming MI 49418-8347 |
| Practice Telephone | 6168408000 |
| Mailing Telephone | 6162994025 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5501015392 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
235 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-5247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245212893 | Peter E Sices | Internal Medicine | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2005-11-18 |
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1225643208 | Jessica Evans | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-09-15 |
| 1114547544 | Jenae Swiercz | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-04-27 |
| 1740847193 | Jennifer Carrier-masse | Nurse Practitioner | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-05-21 |
| 1598220402 | Kimberley Joy Paszkowski | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2019-02-05 |
| 1659843795 | Marissa Korodan | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-31 |
| 1750853081 | Lindsey Riker | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1407328727 | Melanie Truer | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| 1730651068 | Megan Stasiak | Speech-Language Pathologist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972817831 | Rachel Vantimmeren | Physical Therapist | 3844 3 Mile Rd Ne, Grand Rapids, MI 49525-9627 | 2010-08-03 |
| 1437756632 | Rebecca Lynn Grier | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2020-10-01 |
| 1184232332 | Erin Elizabeth Swartz | Physical Therapist | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-07-14 |
| 1255833067 | Robin Joy Hollebeek | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-07 |
| 1477055283 | Lisa Mary Howard | Physical Therapist | 1401 Cedar St Ne, Grand Rapids, MI 49503-1375 | 2018-03-07 |
| 1831691468 | Janae Marie Thaler | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-28 |
| 1790287365 | Cara M Hudson | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-28 |
| 1760983555 | Lura Lynn Naessens | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1053812842 | Kate Rustem | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1396083754 | Anne Reiher | Physical Therapist | 2900 Charlevoix Dr Se, Ste. 200, Grand Rapids, MI 49546-7085 | 2013-01-19 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on KATIE DEROO.
| 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.