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

Thomas A Derosa, DPT

Individual provider Physical Therapist · NPI 1396005518

Thomas A Derosa, DPT is a Physical Therapist in Private Practice in Riverhead, New York. Qualified in 2012, 14 years ago. Practices with Jefferson Sports and Physical Therapy PC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1149 Old Country Rd Ste A2
Riverhead, NY 11901-2059
Phone: (631) 284-9258
Fax: (631) 284-9260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1396005518
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 22, 2012
Last updated in NPPESSeptember 13, 2012
Mailing address1149 Old Country Rd Ste A2, Riverhead, NY 11901-2059

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Jefferson Sports And Physical Therapy Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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