Derek Ronald Strate, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4261873 Issued in ID

Practice address

1510 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(208) 522-7627

Fax

(208) 524-6300

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

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 ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagle Rock Physical Therapy PLLCGroup PAC ID 0941397343, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Rock Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1174712418
  Medicare reassignment Care Compare group NPD
• Vista Healthcare PC

  • Primary Care Clinic/Center
  • Rexburg, ID
  • NPI 1720502370
  NPD (past)

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1235963240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 EAGLE DR APT 201",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065743",
            "telephone_number": "801-919-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "208-522-7627",
            "fax_number": "208-524-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATE",
        "first_name": "DEREK",
        "middle_name": "RONALD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "4261873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dawn Stowell, M.S., CCC-SLP
• Richard Joseph Strachan, PHARMD
• Strada Performance LLC
• Lettie Stradley-Bass, LCPC-8478
• Blake A. Stragier, R.C.S.
• Strider Physical Therapy
• John J Strobel, MD
• Lynn J Stromberg, MD
• David Strong, LPC
• Alessandra Stubblefield

• Physical Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.