IndividualActive
Vicky Derderian, LPTA
NPI 1104047778 · Physical Therapy Assistant · Hamilton, OH
Provider details
- NPI number
- 1104047778
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA-1103 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
855 Stahlheber Rd
Hamilton, OH 45013-1963
Phone: (513) 844-8004
Street-level locationGet directions
Mailing address
3923 Hickory View Dr.
Hamilton, OH 45011
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2008-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.