Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip John Derleth, DC

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659696771

Dr. Philip John Derleth, DC is a Chiropractic in Fairport, New York. Graduated from New York Chiropractic College in 2010, 16 years ago. Practices with Derleth Chiropractic PLLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
16
Trained at
New York Chiropractic College
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1387 Fairport Rd Ste 640
Fairport, NY 14450-2003
Phone: (585) 598-3535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659696771
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 31, 2010
Last updated in NPPESMarch 31, 2010
Mailing address40 Valley Brook Dr, Fairport, NY 14450-9377

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2010 (16 years in practice)
Group practice Derleth Chiropractic Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairport