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

Amanda R Derosa, DPT

Individual provider Orthopedic Physical Therapist · NPI 1134319700

Amanda R Derosa, DPT is an Orthopedic Physical Therapist in Flagstaff, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
4
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

1072 E Old Canyon Ct
Flagstaff, AZ 86001-6006
Phone: (928) 220-7504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1485 N Turquoise Dr, Flagstaff, AZ 86001-2000 — (520) 321-0204

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7738 (AZ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 7738 (AZ)
Orthopedic Physical Therapist Taxonomy 2251X0800X
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 7738

Record details

NPI number1134319700
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address1072 E Old Canyon Ct, Flagstaff, AZ 86001-6006

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