Miss Kelly Deruvo, DPT is a
Physical Therapist based in Kingston, New Hampshire. Miss Kelly Deruvo is licensed to practice in New Hampshire (license number 4194) and her current practice location is
148 Main St, Kingston, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(516) 594-1212.
NPI number for Miss Kelly Deruvo is 1700963477 and her current mailing address is 17 Parsons Way, Kingston, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700963477.
Healthcare Provider's Profile
Full Name | Miss Kelly Deruvo |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 148 Main St, Kingston, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700963477
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 10/18/2019
Medical Identifiers
Medical identifiers for Miss Kelly Deruvo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700963477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1223120 (Texas) | Secondary |
225100000X | Physical Therapist | 026447-1 (New York) | Secondary |
225100000X | Physical Therapist | 4194 (New Hampshire) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kelly Deruvo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Kelly Deruvo, DPT 17 Parsons Way, Kingston, NH 03848-3657 Ph: () - | Miss Kelly Deruvo, DPT 148 Main St, Kingston, NH 03848-3222 Ph: (516) 594-1212 |
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