MRS. BRYONY FAWNE DEROSE OTR
NPI 1689875841
Occupational Therapist - Hand in Dearborn, MI

Active since May 29, 2007Accepts Medicare Assignment
92.76/100
CMS Quality Rating
22731 NEWMAN STREET SUITE100B, DEARBORN, MI 48124(313) 791-0616 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Bryony Fawne Derose Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BRYONY FAWNE DEROSE OTR (NPI 1689875841) is an individual hand provider in Dearborn, Michigan, licensed in Michigan (5201005966) and active in the NPI registry since May 2007. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1689875841
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameMRS. BRYONY FAWNE DEROSECredential: OTR
Location Address22731 NEWMAN STREET SUITE100BDearborn, MI 48124
Mailing Address22731 Newman Suite 100bDearborn, MI 48124 · (313) 791-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 29, 2007
Last NPPES UpdateFebruary 19, 2008
NPI 1689875841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in MI · 5201005966
22731 NEWMAN STREET SUITE100B, Dearborn, MI 48124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Bryony Fawne Derose Otr 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.

PECOS PAC ID6305155714
PECOS Enrollment IDI20151027000490

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

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 Bryony Derose's NPI number?

The NPI number for Bryony Derose is 1689875841. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Bryony Derose located?

Bryony Derose practices at 22731 Newman Street Suite100b, Dearborn, MI 48124. The listed phone number is (313) 791-0616.

What is Bryony Derose's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Bryony Derose enrolled in Medicare?

Yes. Bryony Derose 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.

What insurance does Bryony Derose accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Bryony Derose 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 Bryony Derose was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.