DR. NATALIE D DEREKA D.P.T.
NPI 1417212564
Physical Therapist in Kalamazoo, MI
About Dr. Natalie D Dereka D.p.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATALIE D DEREKA D.P.T. (NPI 1417212564) is an individual physical therapist in Kalamazoo, Michigan, licensed in Michigan (5501015948) and active in the NPI registry since July 2012. She is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Natalie D Dereka D.p.t. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Natalie Dereka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elcajon, CA 92019
- Reassigned Medicare billing, California enrollment
- 21 clinicians in this Medicare group
San Marcos, CA 92078
- Reassigned Medicare billing, California enrollment
- 18 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KALAMAZOO, MI 49048
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 Natalie Dereka's NPI number?
The NPI number for Natalie Dereka is 1417212564. It was assigned to this individual provider in the NPPES registry on July 5, 2012.
Where is Natalie Dereka located?
Natalie Dereka practices at 1820 Shaffer St Suite B, Kalamazoo, MI 49048. The listed phone number is (269) 384-3066.
What is Natalie Dereka's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Natalie Dereka enrolled in Medicare?
Yes. Natalie Dereka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Natalie Dereka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Dereka reassigns Medicare benefits to 2 organizations: Nexus Physical Therapy (Elcajon, CA) and Bewell Home Physical Therapy P C (San Marcos, CA). Each 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 Natalie Dereka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Natalie Dereka was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Natalie D Dereka, D.P.T. · NPI 1417212564
Physical Therapist provider in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since July 5, 2012.
## Identity
- **NPI:** 1417212564 (Entity type: Individual)
- **Enumerated:** July 5, 2012
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 5501015948 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1820 SHAFFER ST, SUITE B, Kalamazoo, MI 49048-1656
- **Phone:** (269) 384-3066 · **Fax:** (269) 384-3065
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nexus Physical Therapy (NPI 1952461741, Elcajon, CA); Bewell Home Physical Therapy P C (NPI 1831582592, San Marcos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 5, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1417212564) · Data from the CMS NPPES public registry.