DAVID C DEROSIA LMT
NPI 1831497569
Massage Therapist in Portland, OR

Q: What is David Derosia's NPI number?

The NPI number for David Derosia is 1831497569. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Q: What is David Derosia's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for David Derosia was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 03, 2011

2143 NE BROADWAY ST STE 1, PORTLAND, OR 97232(971) 303-8367 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2021, Nov 21, 2019 (2 updates tracked since 2019).

On this page

About David C Derosia Lmt NPPES

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

DAVID C DEROSIA LMT (NPI 1831497569) is an individual massage therapist in Portland, Oregon, licensed in Oregon (16541) and active in the NPI registry since March 2011. He maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1831497569

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameDAVID C DEROSIACredential: LMT

Location Address2143 NE BROADWAY ST STE 1Portland, OR 97232-1512

Mailing Address2143 Ne Broadway St Ste 1Portland, OR 97232-1512 · (971) 303-8367

Phone(971) 303-8367

Sole ProprietorYes

Enumeration DateMarch 3, 2011

Last NPPES UpdateApril 7, 20212 updates tracked since enumeration

NPPES CertifiedApril 7, 2021

✔ NPI 1831497569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 16541

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

2143 NE BROADWAY ST STE 1, Portland, OR 97232

Open in Google Maps ↗

Secondary Practice Location 1

Location 12304 E Burnside St Ste 1Portland, OR 97214-1677 · Phone (971) 303-8367

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

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 David Derosia's NPI number?

The NPI number for David Derosia is 1831497569. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is David Derosia located?

David Derosia practices at 2143 NE Broadway St Ste 1, Portland, OR 97232. The listed phone number is (971) 303-8367.

What is David Derosia's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

What insurance does David Derosia accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list David Derosia 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 David Derosia was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.