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Nicole Derue Physical Therapy P.C.

Physical Therapy Clinic/Center in Central Square, NY · enumerated 2007 · authorized official Nicole Derue, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053503185

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Registry record

Entity type Organization (Type 2)
Legal business name Nicole Derue Physical Therapy P.C.
Other name <Unavail>
Practice address 573 S Main St, Central Square, NY, 13036
Fax (315) 676-3402
Enumeration date Aug 13, 2007
Last updated in NPPES Nov 21, 2007

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities · License 0590998 (NY) Primary

Authorized official

Name Nicole Derue
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-11-21. Verify at npiregistry.cms.hhs.gov.
Where is Nicole Derue Physical Therapy P.C. located?
The practice location on file with NPPES is in Central Square, NY.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-21.