DARSCHELLE DESRONVIL – Physical Therapist, NPI 1124905849

DARSCHELLE DESRONVIL is a healthcare provider. based in Bridgewater, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTL81009 (MA). The NPI Number for DARSCHELLE DESRONVIL is 1124905849

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
DARSCHELLE DESRONVIL
NPI
1124905849
Phone
(774) 297-0976
Address
40 HOLLY LN
Enumeration Date
18 August 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7819347292
Graduation Year
2025 (1 year ago)
PAC ID
4789188764
Group Practice PAC ID
3375448335
Professional Enrollment ID
I20250922002401
Address ID
MA023604842PL41XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for DARSCHELLE DESRONVIL

  • 40 HOLLY LN

    BRIDGEWATER, MA 023242833

    Phone: (774) 297-0976

    Type: Mailing

  • 41 RESNIK RD

    PLYMOUTH, MA 023605721

    Phone: (781) 934-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250922002401IPhysical Therapist In Private PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02324)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375448335View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Orthopedic Surgery, Hand SurgeryMA
Physical Medicine And RehabilitationMA
Orthopedic SurgeryGA
Physician AssistantMA
-MA
Physician AssistantMA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DARSCHELLE DESRONVIL?
DARSCHELLE DESRONVIL — NPI 1124905849 — is the standard way to identify this listing.
Is DARSCHELLE DESRONVIL listed as active for patients and plans?
The listing shows DARSCHELLE DESRONVIL as active in the NPI system.
What taxonomy line describes DARSCHELLE DESRONVIL?
For research purposes, treat DARSCHELLE DESRONVIL as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DARSCHELLE DESRONVIL serve?
DARSCHELLE DESRONVIL's listing highlights Bridgewater, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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