Derick Haywood Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

302879 Issued in CA

Practice address

2217 Sunset Blvd Ste 711
Rocklin, CA 95765-4783

Phone

(916) 435-3500

NPI assigned

Sep 19, 2022

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagdeep Garcha PTGroup PAC ID 8325313471, 5 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 and National Provider Directory roles.

• Jagdeep Garcha P.T

  • Physical Therapist
  • Roseville, CA
  • NPI 1558878918

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Sports Physical Therapy Centers, Inc.

  • Physical Therapist
  • Monterey, CA
  • NPI 1467436329

  CA, Physical Therapist

  Medicare reassignment NPD
• California Sports Physical Therapy Centers Inc

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965
  NPD
• California Sports Physical Therapy Centers, Inc.

  • Multi-Specialty Clinic/Center
  • San Ramon, CA
  • NPI 1134458557

  Physical Therapist

  NPD
• Jagdeep Garcha P.T

  • Physical Therapy Clinic/Center
  • Roseville, CA
  • NPI 1003562141
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1154043883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N STAR ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956771845",
            "telephone_number": "908-418-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SUNSET BLVD STE 711",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654783",
            "telephone_number": "916-435-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "DERICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy MC Harris, MD
• Theresa Harvey
• Has Professional Services, Inc
• Nasir Elijah Hawthorne
• Dale Takako Hayashida, PHARM D
• Kayln Danae Hazen
• Trevor Oswalt Hazen
• Healing Den Counseling Services
• Bron Christopher Hedman, MD
• Tabatha Marie Heidbreder

• All providers in Rocklin, CA
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.