AMANDA DEROSE MCEP, DPT
NPI 1568800241
Physical Therapist in Kenosha, WI

NPI Status: Active since June 04, 2013

Contact Information

3506 WASHINGTON RD
KENOSHA, WI
ZIP 53144
Phone: (262) 653-3800

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  • Individual
  • Female
  • Physical Therapist

About AMANDA DEROSE

This page provides the complete NPI Profile along with additional information for Amanda Derose, a provider established in Kenosha, Wisconsin with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1568800241 assigned on June 2013. The practitioner's primary taxonomy code is 225100000X with license number 12399-024 (WI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1568800241
Provider Name
AMANDA DEROSE MCEP, DPT
Gender
Female
Entity Type
Individual
Location Address
3506 WASHINGTON RD KENOSHA, WI 53144
Location Phone
(262) 653-3800
Mailing Address
5802 40TH AVE KENOSHA, WI 53144
Is Sole Proprietor?
No
Enumeration Date
06-04-2013
Last Update Date
06-04-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
12399-024
License State
WI
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568800241
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128160028
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 0 + 0 + 2 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1568800241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558329185BROOKSIDE CARE CENTER
Organization
Skilled Nursing Facility3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1194093716MRS. KAREN MARIE KOWALSKI PTA
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1952679508 BARBARA MARIA DENOR OTR
Individual
Occupational Therapist3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1669741096PATTI MAHLANDTBUTTS
Organization
Skilled Nursing Facility3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1912276718 HEATHER MARIE MEYER M.S. CCC-SLP
Individual
Speech-Language Pathologist3506 WASHINGTON RD THERAPY DEPT
KENOSHA, WI 53144
(262) 653-3800
1922372093 JODI BALL COTA
Individual
Occupational Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1053578252 KATHLEEN KAY FALK COTA
Individual
Occupational Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1164831285MR. FRANCIS BATTAD OTR/L
Individual
Occupational Therapist3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3813
1053823146MRS. THERESA JOY SCHWER PTA
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 818-4518
1558841312MISS TINA MARIE TIHEN PHYSICAL THERAPIST A
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1821570995 TANEEKA LOPEZ
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1508335472 KELLY MAUSER PTA
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1346518982 KHADIJAH A LEWIS P.T
Individual
Physical Therapist3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3814
1760041909 JOSHUA GOMEZ PTA
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1366080293 LINDSAY ANDERSON OTR/L, CLT
Individual
Occupational Therapist3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1013407444 DEANNA M HUFF-RICCHIO PTA
Individual
Physical Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1346964194 REBEKAH J UNGEMACH COTA
Individual
Occupational Therapy Assistant3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1497447890 NANCY SUE EISNER
Individual
Occupational Therapist3506 WASHINGTON RD
KENOSHA, WI 53144
(262) 653-3800
1497003362 NATALYA BERCE NP
Individual
Nurse Practitioner3506 WASHINGTON RD
KENOSHA, WI 53144
(630) 571-8990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568800241, enumerated in the NPI registry as an "individual" on June 04, 2013

The provider is located at 3506 Washington Rd Kenosha, Wi 53144 and the phone number is (262) 653-3800

The provider's speciality is Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on June 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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