Derrick Jay Webb, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-4754 Issued in ID

Practice address

1590 E Polston Ave
Post Falls, ID 83854-5218

Phone

(208) 777-4242

Fax

(208) 777-4020

NPI assigned

Jun 22, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1114378957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 E 4TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990379477",
            "telephone_number": "509-760-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545218",
            "telephone_number": "208-777-4242",
            "fax_number": "208-777-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "DERRICK",
        "middle_name": "JAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy L Warzecha, CNM
• We Care Wellness Center, Inc.
• Katie Lee Weaver, LMT
• Brooklyn Sarah Webb
• Clarke B Webb, CRNA
• Miranda Lynn Weber, DDS
• Amber Weingart, OT
• Well Life Pharmacy Incorporated (Well Life Post Falls Pharmacy)
• Savannah Welna
• Tanya Wenig, LPC

• Physical Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.