Active NPI
Derrick Hale Baskin, DPT
- Physical Therapist
- Chesapeake, VA
National Provider Identifier
1013735182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305206684
- Practice address
- 1001 Scenic Pkwy Ste 101
Chesapeake, VA 23323-6720 - Phone
- (757) 388-9950
- NPI assigned
- Sep 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305206684 | VA | Primary |
Addresses
Primary practice location
1001 Scenic Pkwy Ste 101
Chesapeake, VA 23323-6720
Mailing address
712 Arena CT
Chesapeake, VA 23322-6327
Phone (757) 403-6711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305206684 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Hospitals | Past | Accepting new patients | |
| Sentara Hospitals | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Norfolk, VA
- NPI 1346314192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1811957681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1013735182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 ARENA CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226327",
"telephone_number": "757-403-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SCENIC PKWY STE 101",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233236720",
"telephone_number": "757-388-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "DERRICK",
"middle_name": "HALE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305206684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.