Derek C Eastman, PT, DPT
Individual provider Active NPI Physical Therapist · Gorham, NH
NPI 1003070855 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1003070855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2533 (NH)
- Practice address
- 167 Main St
Gorham, NH 03581-1637 - Phone
- (603) 342-5060
- Fax
- (603) 466-9828
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Androscoggin Valley Hospital Inc
Practice addresses (Care Compare)
59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200211000360 | NH | Practitioner - Physical Therapist in Private Practice | 5890121834 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2533 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Androscoggin Valley Hospital, Inc. | Current |
Accepting new patients | |
| Androscoggin Valley Hospital Inc | Current |
Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current |
Accepting new patients | |
| Center for Physical Therapy & Sports Medicine, PC | Physical Therapist | Past | Accepting new patients |
| Chesterfield Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200
167 Main St
Gorham, NH 03581
Phone (603) 342-5060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2533 | NH | Yes |
Addresses
Primary practice location
167 Main St
Gorham, NH 03581-1637
Mailing address
167 Main St
Gorham, NH 03581-1637
Phone (603) 342-5060
Other providers in Gorham, NH
- Reggie L Coulombe
- Jessica Cunningham
- Elaine Carol Davis
- Kathleen Donovan
- Dummer School District
- Errol School District
- Dieter Fellner
- Grazyna Galicka-Piskorska
- Amy Lynn Galipeau
- Kimberly Gallant
All providers in Gorham, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.