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

Mr. Michael A Derubertis, PT

Individual provider Physical Therapist · NPI 1013961911

Mr. Michael A Derubertis, PT is a Physical Therapist in Private Practice in Cleveland, Ohio. Qualified in 1984, 42 years ago. Practices with Northern Ohio Medical Specialists, LLC, a 251-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
42
Licensed in
OH
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3866 Carnegie Ave
Cleveland, OH 44115-2718
Phone: (216) 621-0022
Fax: (216) 621-5479
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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 PT03590 (OH)

Record details

NPI number1013961911
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 22, 2006
Last updated in NPPESOctober 26, 2011
Mailing address3866 Carnegie Ave, Cleveland, OH 44115-2718

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Northern Ohio Medical Specialists,Llc — 251 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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