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

Dr. Natalie D Dereka, DPT

Individual provider Physical Therapist · NPI 1417212564

Dr. Natalie D Dereka, DPT is a Physical Therapist in Private Practice in Kalamazoo, Michigan. Qualified in 2011, 15 years ago. Practices with Nexus Physical Therapy, a 9-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2012
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

1820 Shaffer St Ste B
Kalamazoo, MI 49048-1656
Phone: (269) 384-3066
Fax: (269) 384-3065
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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 5501015948 (MI)

Record details

NPI number1417212564
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 5, 2012
Last updated in NPPESJuly 5, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Nexus Physical Therapy — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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