Derek Kenneth Mixon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218

Phone

(904) 223-2363

Fax

(904) 223-2365

NPI assigned

Jul 2, 2018

Last updated

Jul 31, 2023By 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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In Motion Physical Therapy LLCGroup PAC ID 9830274240, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1679760862
  Medicare reassignment Care Compare group NPD
• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1629841408
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1235625377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247218",
            "telephone_number": "904-223-2363",
            "fax_number": "904-223-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247218",
            "telephone_number": "904-223-2363",
            "fax_number": "904-223-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXON",
        "first_name": "DEREK",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghada Mitri, MD
• Ghaith Mitri, M.D.
• Brittany Nicole Mitrick
• Milan Mitrovic, LMFT
• Kimberly Mix
• Detrese Denese Mixon, CNA,CMA
• Tiffany Mixon
• Akili Mixson
• Justice Mixson
• Tiyanah Mixson

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.