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

Jennifer L. Derosa, DPT

Individual provider Physical Therapist · NPI 1548565054

Jennifer L. Derosa, DPT is a Physical Therapist in Private Practice in Raleigh, North Carolina. Qualified in 2005, 21 years ago. Practices with Raleigh Orthopaedic Clinic PA, a 128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2011
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

3001 Edwards Mill Rd # 200
Raleigh, NC 27612-5243
Phone: (197) 814-0609
Fax: (919) 781-5246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 110 Competition Center Dr # 154, Morrisville, NC 27560-9032 — (919) 863-6856

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P12887 (NC)

Record details

NPI number1548565054
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 13, 2011
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Raleigh Orthopaedic Clinic Pa — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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