Mr Richard Allan Derrickson, PHYSICAL THERAPIST is a
Massage Therapist based in New York, New York. Mr Richard Allan Derrickson is licensed to practice in New York (license number 004340) and his current practice location is
315 W 55th St, Apt. 3a, New York, New York. He can be reached at his office (for appointments etc.) via phone at
(212) 247-2745.
NPI number for Mr Richard Allan Derrickson is 1437362415 and his current mailing address is 315 W 55th St, Apt. 3a, New York, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437362415.
Healthcare Provider's Profile
| Full Name | Mr Richard Allan Derrickson |
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| Gender | Male |
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| Speciality | Massage Therapist |
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| Location | 315 W 55th St, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437362415
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mr Richard Allan Derrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437362415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 019749 (New York) | Secondary |
| 225700000X | Massage Therapist | 004340 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Allan Derrickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Richard Allan Derrickson, PHYSICAL THERAPIST 315 W 55th St, Apt. 3a, New York, NY 10019-4503 Ph: (212) 247-2745 | Mr Richard Allan Derrickson, PHYSICAL THERAPIST 315 W 55th St, Apt. 3a, New York, NY 10019-4503 Ph: (212) 247-2745 |
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