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

Deanna Marie Derrenbacker, PT

Individual provider Physical Therapist · NPI 1619583945

Deanna Marie Derrenbacker, PT is a Physical Therapist in Private Practice in Fayetteville, New York. Qualified in 2020, 6 years ago. Practices with Engage PT OT and SLP, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6800 E Genesee St
Fayetteville, NY 13066-1089
Phone: (315) 635-5000
Fax: (315) 446-1816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15 E Genesee St Ste 130, Baldwinsville, NY 13027-2544 — (315) 635-5000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046322 (NY)

Record details

NPI number1619583945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Engage Pt Ot And Slp — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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