Derrick A. Debenedetto, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11039 Issued in AZ

Practice address

717 W Dunlap Ave Ste 100
Phoenix, AZ 85021-3521

Phone

(602) 944-2146

Fax

(602) 944-2176

NPI assigned

Aug 19, 2014

Last updated

Feb 23, 2022By the provider in NPPES

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1184730095
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Spooner Physical Therapy & Hand Rehab, PC

  dba Spooner Desert Ridge

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1124240270
  Medicare reassignment NPD
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1104478320
  NPD
• Spooner Physical Therapy and Hand Rehab, PC

  dba Spooner Rockwall

  • Physical Therapy Clinic/Center
  • Rockwall, TX
  • NPI 1184465650

  Physical Therapist

  NPD

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1124427828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "602-329-8250",
            "fax_number": "480-565-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W DUNLAP AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213521",
            "telephone_number": "602-944-2146",
            "fax_number": "602-944-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDETTO",
        "first_name": "DERRICK",
        "middle_name": "A.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Debano, RPH, PHARMD
• Tara Helm Debardeleben, NP
• Peter James Debartolo, M.D.
• Debbies House LLC
• Anna Debbs, LPC
• Sarah Francis Debenedetto, PT, DPT
• Patricia Dawn Debermuda, LCSW
• Michael Joseph Debo, D.O.
• Brittany Deboer
• Deborah L Dykema DO PC

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.