Active NPI
Ann L Derrick, PT
- Physical Therapist
- Peoria, AZ
National Provider Identifier
1205977014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5169
- Practice address
- 9559 W Pinnacle Vista Dr
Peoria, AZ 85383-8715 - Phone
- (623) 980-2844
- Fax
- (623) 505-9755
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5169 | AZ | Primary |
Addresses
Primary practice location
9559 W Pinnacle Vista Dr
Peoria, AZ 85383-8715
Mailing address
24654 N Lake Pleasant Pkwy
Peoria, AZ 85383-1359
Phone (602) 679-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5169 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhad Academy and Healthcare | Current | Accepting new patients | |
| Rhad Health Care LLC | Current | Accepting new patients | |
| Elite Assisted Living Home | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Peoria, AZ
- NPI 1780339721
-
- Assisted Living Facility
- Waddell, AZ
- NPI 1356885164
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1174384887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700697600000",
"number": "1205977014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24654 N LAKE PLEASANT PKWY",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831359",
"telephone_number": "602-679-5050",
"fax_number": "623-505-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9559 W PINNACLE VISTA DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853838715",
"telephone_number": "623-980-2844",
"fax_number": "623-505-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRICK",
"first_name": "ANN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2023-11-23",
"certification_date": "2023-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
- Lucy Denton, SLP
- Rosemary Theresa Depaoli, M.D.
- Dependable Kare LLC. (Dba Ana & David Alh)
- Dermal Wound Wizards LLC
- Nicole Elizabeth Derminio
- Jamie R Descoteaux, ARNP
- Desert Amethyst Retirement LLC
- Desert Edge Physical Therapy LLC
- Desert Empire Behavioral Health, Inc.
- Desert Endovascular Surgical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.