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RYAN MICHAEL DEROSE DPT
NPI 1902142755
Rehabilitation Hospital in Madison, WI

Active since December 26, 2012
2500 OVERLOOK TER, MADISON, WI 53705(608) 280-7036(608) 280-7079 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Michael Derose Dpt NPPES

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

RYAN MICHAEL DEROSE DPT (NPI 1902142755) is an individual rehabilitation hospital provider in Madison, Wisconsin, licensed in Wisconsin (12121-24) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1902142755
Entity TypeIndividualMale
Primary Taxonomy283X00000X
Provider Legal NameRYAN MICHAEL DEROSECredential: DPT
Location Address2500 OVERLOOK TERMadison, WI 53705-2254
Mailing Address2500 Overlook TerMadison, WI 53705-2254 · (608) 280-7036 · Fax (608) 280-7079
Phone(608) 280-7036
Fax(608) 280-7079
Sole ProprietorYes
Enumeration DateDecember 26, 2012
✔ NPI 1902142755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in WI · 12121-24
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
2500 OVERLOOK TER, Madison, WI 53705
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHANN BETH KRUEGER M.S.W.
Social Worker
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 295-1901
DR. MARIA CHARMAINE WOPAT PHARMD
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
MS. LEAH ALLISON FINCH CAPSW
Social Worker (Clinical)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
MRS. JENEA KATHLEEN STASSI BSN, WCC
Registered Nurse (Wound Care)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
LINDSAY BERNING RN
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7003
JACOB HENRY FITZSIMMONS
Registered Nurse
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7110
LAYLIA JULIA YANG PHARMD
Pharmacist
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 256-1901
DR. BEVERLY A PRIEFER PHD, APRN
Registered Nurse (Medical-Surgical)
2500 OVERLOOK TER
MADISON, WI 53705
Dane County (608) 280-7080

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 Ryan Derose's NPI number?

The NPI number for Ryan Derose is 1902142755. It was assigned to this individual provider in the NPPES registry on December 26, 2012.

Where is Ryan Derose located?

Ryan Derose practices at 2500 Overlook Ter, Madison, WI 53705. The listed phone number is (608) 280-7036.

What is Ryan Derose's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

When was this NPI record last updated?

The NPPES record for Ryan Derose was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.