Individual provider Active NPI

Derek Duerst, DPT

  • Physical Therapist
  • Papillion, NE
National Provider Identifier
1205471158
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4026 Issued in NE
Practice address
701 Pinnacle Dr Ste 105
Papillion, NE 68046-6228
Phone
(402) 505-7989
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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 4026 NE Primary

Addresses

Primary practice location

701 Pinnacle Dr Ste 105
Papillion, NE 68046-6228

Mailing address

701 Pinnacle Dr Ste 105
Papillion, NE 68046-6228
Phone (402) 505-7989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218000849 NE Practitioner - Physical Therapist in Private Practice 2769819531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

8140 S 97TH PLZ
Empowerme Rehabilitation Meriwether
La Vista, NE 68128-7104
Phone (531) 214-5041

Merit-based Incentive Payment System (MIPS)

Final score
61.16 of 100Reported as group
Quality
62.36
Improvement activities
40
Cost
39.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4026NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Medical Group PC CurrentSince Nov 27, 2019 Accepting new patients
Empowerme Asl, LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Empowerme Asl, LLC CurrentSince May 19, 2025 Accepting new patients
Procare3, Inc. CurrentSince Nov 22, 2022 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

8140 S 97th Plz
La Vista, NE 68128
Phone (402) 597-0700

4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211

545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333

701 Pinnacle Dr
Ste 105
Papillion, NE 68046
Phone (402) 505-7989

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1205471158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINNACLE DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466228",
            "telephone_number": "402-505-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINNACLE DR STE 105",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466228",
            "telephone_number": "402-505-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERST",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.