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

Scott Derenda

Individual provider Physical Therapy Assistant · NPI 1154902310

Scott Derenda is a Physical Therapy Assistant in Green Cove Springs, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

3 Pavilion Pl
Green Cove Springs, FL 32043-4734
Phone: (994) 708-6677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA25323 (FL)

Record details

NPI number1154902310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021
Mailing address3 Pavilion Pl, Green Cove Springs, FL 32043-4734

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