Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maddison Rosemary Derickson, PT, DPT

Individual provider Physical Therapist · NPI 1164154985

Maddison Rosemary Derickson, PT, DPT is a Physical Therapist in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (855) 407-7575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1164154985
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

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