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

Mrs. Bryony Fawne Derose, OTR

Individual provider Hand Occupational Therapist · NPI 1689875841

Mrs. Bryony Fawne Derose, OTR is an Occupational Therapist in Private Practice in Dearborn, Michigan. Qualified in 2001, 25 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

22731 Newman Street SUITE100B
Dearborn, MI 48124
Phone: (313) 791-0616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence 5201005966 (MI)

Record details

NPI number1689875841
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESFebruary 19, 2008

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dearborn