NICHOLAS JAMES DERENZIS (NPI# 1720476757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720476757 |
Entity Type | Individual |
Full Name | NICHOLAS JAMES DERENZIS |
Practice Address |
400 S Independence Ave Independence VA 24348 |
Mailing Address |
5193 Waddletown Rd Bland VA 24315-4710 |
Practice Telephone | 2767730303 |
Enumeration Date | 2014-12-29 |
Last Update Date | 2018-07-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | PT003561 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225100000X | Physical Therapist | 2305205303 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225100000X | Physical Therapist | PT 60386876 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
451 Westcliffe Blvd, Apt G351, Richland, WA 993529315 | 5708560313 |
Street Address |
400 S INDEPENDENCE AVE |
City | INDEPENDENCE |
State | VA |
Zip Code | 24348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457396426 | Sp Grayson, LLC | Skilled Nursing Facility | 400 S Independence Ave, Independence, VA 24348-3857 | 2006-06-16 |
1689187106 | Ryan Nielson | Physical Therapist | 400 S Independence Ave, Independence, VA 24348-3972 | 2017-11-06 |
1821465907 | Kayla Beasley | Occupational Therapy Assistant | 400 S Independence Ave, Independence, VA 24348-3972 | 2015-08-25 |
1235478835 | Mary Alice Royal | Occupational Therapy Assistant | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-02-04 |
1235478850 | Scarlett Michelle Love | Physical Therapy Assistant | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-02-01 |
1679812390 | Virgil Lee Funk | Physical Therapy Assistant | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-02-01 |
1285973974 | Erica Vannoy Carson | Speech-Language Pathologist | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-01-31 |
1770822447 | Thomas Gordon Stoneman II | Physical Therapist | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-01-31 |
1548508328 | Robert William Thompson | Physical Therapy Assistant | 400 S Independence Ave, Independence, VA 24348-3972 | 2013-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073674966 | Virginia Highlands Orthopaedic Spine Center, LLC | Clinic/Center | 304 Davis Street, Independence, VA 24348 | 2006-12-13 |
1164434007 | Ryan Anthony Tauzell | Physical Therapist | 304 Davis St, Independence, VA 24348 | 2006-08-12 |
1619911427 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 186 West Main St, Independence, VA 24348 | 2006-06-15 |
1497703128 | Grayson County Public Schools | Local Education Agency (LEA) | 412 East Main Street, Independence, VA 24348 | 2006-05-05 |
1295715704 | Mary-emma Beres | Family Medicine | 127 E Main St, Independence, VA 24348 | 2006-01-19 |
1922182112 | Grayson Highlands Family Medicine & Obstetrics | Family Medicine | 127 East Main Street, Independence, VA 24348 | 2006-10-24 |
1497868103 | Daniel Robert Perry | Physical Therapist | 304 Davis St, Independence, VA 24348 | 2006-08-16 |
1699888313 | Christie H King | Radiologic Technologist | 304 Davis St, Independence, VA 24348 | 2006-08-16 |
1427161652 | Alta Billings | Licensed Practical Nurse | 304 Davis St, Independence, VA 24348 | 2006-08-15 |
1881768166 | Gordon Joseph Miniclier | Dentist | 150 West Main Street, Independence, VA 24348-0560 | 2006-11-20 |
Find all providers in zip 24348 |
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 |
---|---|---|---|---|
1881228120 | Ivan Haggins II | Physical Therapist | 6500 Rockside Rd Ste 160, Independence, OH 44131-2319 | 2020-02-25 |
1205498284 | Elliot John William Hutchison | Physical Therapist | 17331 E 40 Hwy Ste 105, Independence, MO 64055-6444 | 2019-07-01 |
1285116426 | Benjamin Bagge | Physical Therapist | 1706 Keokuk Ave, Independence, IA 50644-9227 | 2018-09-04 |
1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
1437643798 | Haleigh D Jackson | Physical Therapist | 19049 E Valley View Pkwy Ste H, Independence, MO 64055-7026 | 2018-06-20 |
1104349166 | Tyler Thorp | Physical Therapist | 4900 S Arrowhead Dr Ste B, Independence, MO 64055-6990 | 2017-07-21 |
1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
1013390400 | Kevin T Collins | Physical Therapist | 5001 Rockside Rd # In10, Independence, OH 44131-2172 | 2015-07-02 |
1578992517 | Kelsey Leimkuehler | Physical Therapist | 2301 S Missouri 291 Highway, Independence, MO 64057 | 2013-11-08 |
1720322704 | Samantha Paradise Forrest | Physical Therapist | 2301 S Hwy 291, Independence, MO 64057 | 2012-11-15 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 24348 |
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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.