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

Individual provider Physical Therapist · NPI 1689728867

Jerome James Deriso, MPT is a Physical Therapist in Private Practice in Ligonier, Pennsylvania. Qualified in 1993, 33 years ago. Practices with Diamond Physical Therapy, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
33
Licensed in
PA
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

1865 Route 30
Ligonier, PA 15658-8515
Phone: (724) 238-9185
Fax: (724) 238-9186
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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 PT008042L (PA)

Record details

NPI number1689728867
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1865 Route 30, Ligonier, PA 15658-8515

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Diamond Physical Therapy — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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