Individual provider Active NPI

Derrick Reed, DPT

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1235618786
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027059 Issued in PA
Practice address
290 E Pomfret St
Carlisle, PA 17013-2579
Phone
(171) 724-5040
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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 PT027059 PA Primary

Addresses

Primary practice location

290 E Pomfret St
Carlisle, PA 17013-2579

Mailing address

290 E Pomfret St
Carlisle, PA 17013-2579
Phone (171) 724-5040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180828002666 PA Practitioner - Physical Therapist in Private Practice 5799034583 Reassigns benefits to 1 organization

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
Access PT PennsylvaniaGroup PAC ID 6507214707, 15 clinicians

Practice addresses (Care Compare)

156 Cumberland Pkwy
Mechanicsburg, PA 17055-6694
Phone (717) 229-0373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027059PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT Pennsylvania Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Access PT Pennsylvania Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

16 Maybrook Rd
Ste H
Campbell Hall, NY 10916

290 E Pomfret St
Carlisle, PA 17013
Phone (717) 229-0121

290 E Pomfret St
Ste 1
Carlisle, PA 17013
Phone (717) 245-0400

156 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (717) 229-0373

4 Flowers Dr
Ste 1
Mechanicsburg, PA 17050
Phone (717) 219-3240

156 Cumberland Pkwy
Ste 200
Mechanicsburg, PA 17055
Phone (717) 697-6600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1235618786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579",
            "telephone_number": "171-724-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 E POMFRET ST",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132579",
            "telephone_number": "171-724-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DERRICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.