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

Nicholas James Derenzis

Individual provider Physical Therapist · NPI 1720476757

Nicholas James Derenzis is a Physical Therapist in Independence, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia, Washington and West Virginia.

Licensed in
VA, WA, WV
In the registry since
2014
Specialties on file
3

Practice location Address checks out

400 S Independence Ave
Independence, VA 24348
Phone: (276) 773-0303
Show map & directions

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

Additional practice locations (1)

  • 451 Westcliffe Blvd, Richland, WA 99352-9315 — (570) 856-0313

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 60386876 (WA)
Physical Therapist Taxonomy 225100000X · Licence 2305205303 (VA)
Physical Therapist Taxonomy 225100000X · Licence PT003561 (WV)

Record details

NPI number1720476757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 29, 2014
Last updated in NPPESJuly 25, 2018

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