National Provider Identifier Database

RYAN M DEROSE, DPT – NPI #1902142755
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.


Contact Information

RYAN M DEROSE, DPT
2500 OVERLOOK TER
MADISON, WI53705-2254
Phone: 608-280-7036
Fax: 608-280-7079
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for RYAN M DEROSE

NPI Number 1902142755
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 12/26/2012
Last updated 12/26/2012 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • WI License #: 12121-24
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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