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

Dr. Brandon Edward Derouchie, DPT

Individual provider Physical Therapist · NPI 1336869742

Dr. Brandon Edward Derouchie, DPT is a Physical Therapist in Port Charlotte, Florida. Works from 3 locations. Licensed in Florida, North Carolina and New York.

Licensed in
FL, NC, NY
In the registry since
2022
Specialties on file
3
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

17751 Murdock Cir
Port Charlotte, FL 33948-1034
Phone: (941) 743-8700
Fax: (941) 743-8850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5393 S Calle Santa Cruz Ste 107, Tucson, AZ 85706-3556 — (520) 225-0129
  • 6711 Towpath Rd Ste 100, East Syracuse, NY 13057-9509 — (315) 637-4747

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23351 (NC)
Physical Therapist Taxonomy 225100000X · Licence PT41183 (FL)
Physical Therapist Taxonomy 225100000X · Licence 049257-01 (NY)

Record details

NPI number1336869742
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 29, 2022
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address25241 Elementary Way Ste 200, Bonita Springs, FL 34135-7883

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