Derick Allen Pierson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27455 Issued in FL

Practice address

300 Avenue of Champions Ste 100
Palm Beach Gardens, FL 33418-3615

Phone

(561) 223-3872

NPI assigned

Jan 16, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Saylor Physical Therapy of Palm Beach Gardens LLC

  • Health Maintenance Organization
  • West Palm Beach, FL
  • NPI 1649524018
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1073374229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15779 71ST DR N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187404",
            "telephone_number": "561-856-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVENUE OF CHAMPIONS STE 100",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183615",
            "telephone_number": "561-223-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "DERICK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Pierre-Louis,
• Khadisha Pierre
• Magdala Naomi Pierre
• Sharline Pierre
• Shella Pierre
• Jessica Pike
• Estefani Pilossof Flores
• Pine Island Dermatology, LLC
• Marianne Pineda, PA-C
• Luis Fernando Pineiro, M.D

• Physical Therapy Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.