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

Amanda Derouchie, PTA

Individual provider Physical Therapy Assistant · NPI 1346408895

Amanda Derouchie, PTA is a Physical Therapy Assistant in Watertown, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

830 Washington St
Watertown, NY 13601-4034
Phone: (315) 785-4088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 005342 (NY)

Record details

NPI number1346408895
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 30, 2008
Last updated in NPPESMay 30, 2008
Mailing address830 Washington St, Watertown, NY 13601-4034

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