Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Derose, MCEP, DPT

Individual provider Physical Therapist · NPI 1568800241

Amanda Derose, MCEP, DPT is a Physical Therapist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3506 Washington Rd
Kenosha, WI 53144-1654
Phone: (262) 653-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12399-024 (WI)

Record details

NPI number1568800241
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCEP , DPT
Sole proprietorNo
NPI enumeratedJune 4, 2013
Last updated in NPPESJune 4, 2013
Mailing address5802 40th Ave, Kenosha, WI 53144-2746

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