Derek Pond, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7504047-2401 Issued in UT

Practice address

55 E 100 N Ste 201B
Logan, UT 84321-4648

Phone

(385) 595-8892

Fax

(385) 331-7242

NPI assigned

Nov 3, 2015

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elite Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Logan, UT
  • NPI 1083434674

  Physical Therapist

  Medicare reassignment NPD Authorized official
• CSC Physical Therapy

  • Physical Therapist
  • Lehi, UT
  • NPI 1093188740
  Medicare reassignment NPD

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1104299858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 100 N STE 201B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214648",
            "telephone_number": "385-595-8892",
            "fax_number": "385-331-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 100 N STE 201B",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214648",
            "telephone_number": "385-595-8892",
            "fax_number": "385-331-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8831 S Redwood Rd Ste C3",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840889265",
            "country_code": "US",
            "telephone_number": "385-595-8892",
            "fax_number": "385-331-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POND",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-03",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "7504047-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Association of Utah
• Daniel Plant, PA
• Douglas P Plowman, MD
• Gerald Ira Polukoff, MD
• Dakota Pond, MSW
• Poneh Rahimi, MD, Inc
• Poole and Willis Orthodontics
• Poole Orthodontics PC
• Morris Lewis Poole, D.D.S. M.S.D.
• Morris N Poole, DDS

• Physical Therapist in Logan, UT
• Providers in Logan, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.