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

Sean Michael Derussy, PTA

Individual provider Physical Therapy Assistant · NPI 1033954441

Sean Michael Derussy, PTA is a Physical Therapy Assistant in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1198 Smiley Ave Ste F
Cincinnati, OH 45240-1866
Phone: (513) 671-6362
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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 PTA013768 (OH)

Record details

NPI number1033954441
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 27, 2024

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