Individual provider Active NPI

Derek Cabral, DPT

  • Physical Therapist
  • Leominster, MA
National Provider Identifier
1093474876
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL25869 Issued in MA
Practice address
166 Hamilton St
Leominster, MA 01453-2310
Phone
(978) 558-4915
NPI assigned
Dec 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL25869 MA Primary

Addresses

Primary practice location

166 Hamilton St
Leominster, MA 01453-2310

Mailing address

166 Hamilton St
Leominster, MA 01453-2310
Phone (978) 558-4915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703003737 MA Practitioner - Physical Therapist in Private Practice 7810388741 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL25869MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Connections Physical Therapy Inc Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
Auburn Podiatry LLP PastSince Jun 23, 2025 Accepting new patients

Locations

325 Ayer Rd
Harvard, MA 01451
Phone (978) 772-2282

406R Washington St
Holliston, MA 01746
Phone (508) 429-4940

166 Hamilton St
Leominster, MA 01453
Phone (978) 537-1157

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

110 Cedar St
Ste 100
Wellesley Hills, MA 02481
Phone (617) 921-4336

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Cedar St
Suite 100
Wellesley, MA 02481-3527

7 Clyde Rd
Somerset, NJ 08873-5049

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1093474876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HAMILTON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532310",
            "telephone_number": "978-558-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HAMILTON ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532310",
            "telephone_number": "978-558-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL25869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.