AMANDA R DEROSA DPT
NPI 1134319700
Physical Therapist in Flagstaff, AZ
About Amanda R Derosa Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA R DEROSA DPT (NPI 1134319700) is an individual physical therapist in Flagstaff, Arizona, licensed in Arizona (7738) and active in the NPI registry since July 2007. She maintains a secondary practice location in Flagstaff.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda R Derosa Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amanda Derosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Flagstaff, AZ 86001
- Reassigned Medicare billing, Arizona enrollment
- 552 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLAGSTAFF, AZ 86001
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Amanda Derosa's NPI number?
The NPI number for Amanda Derosa is 1134319700. It was assigned to this individual provider in the NPPES registry on July 30, 2007.
Where is Amanda Derosa located?
Amanda Derosa practices at 1072 E Old Canyon Ct, Flagstaff, AZ 86001. The listed phone number is (928) 220-7504.
What is Amanda Derosa's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Amanda Derosa enrolled in Medicare?
Yes. Amanda Derosa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amanda Derosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Derosa reassigns Medicare benefits to Northern Arizona Healthcare Corporation (Flagstaff, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Derosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Derosa accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and UnitedHealthcare list Amanda Derosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amanda Derosa was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.