Individual provider · Type 1 NPI

Nicole Derue, PT

Physical Therapist · Central Square, NY

NPI number 1629135371 Active

Practice location

3165 East Ave
Central Square, NY 13036-2706

Fax (315) 676-3402

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X0281751 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1629135371

Nicole Derue, PT's National Provider Identifier is 1629135371, issued on Jan 2, 2007. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Central Square, NY. The record was last updated on Mar 12, 2026.