Organization provider

NICOLE DERUE PHYSICAL THERAPY P.C.

Physical Therapy Clinic/Center Medicare enrolled

NICOLE DERUE PHYSICAL THERAPY P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053503185, based in Central Square, NY. It is classified under Physical Therapy Clinic/Center.

Getting there

The practice address on file is 573 S MAIN ST, Central Square, NY 13036. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

573 S MAIN ST, Central Square, NY 13036 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
0590998 NY Physical Therapy Clinic/Center primary

This provider holds licence 0590998 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3971699596

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Physical Therapy covers

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. NUCC Health Care Provider Taxonomy, code 261QP2000X
Ambulatory Health Care Facilities Clinic/Center Physical Therapy

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1053503185 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 13, 2007
Last updatedNov 21, 2007
StatusActive
Practice address 573 S MAIN ST
Central Square, NY 13036
(315) 676-3826
Fax (315) 676-3402
This record was last updated on Nov 21, 2007, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1053503185 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 5 0 3 1 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 1 0 6 1 7

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053503185?
NPI 1053503185 is the National Provider Identifier assigned to NICOLE DERUE PHYSICAL THERAPY P.C. in Central Square, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physical Therapy cover?
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal…
How do I contact NICOLE DERUE PHYSICAL THERAPY P.C.?
The phone number on file with NPPES is (315) 676-3826, last updated Nov 21, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does NICOLE DERUE PHYSICAL THERAPY P.C. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053503185 a valid number?
Yes. 1053503185 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.