Derek Over

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI002990 Issued in PA

Practice address

1 Longsdorf Way
Carlisle, PA 17015-7623

Phone

(717) 245-9941

NPI assigned

Feb 21, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1275992117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUSSEX DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170134800",
            "telephone_number": "717-386-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LONGSDORF WAY",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157623",
            "telephone_number": "717-245-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVER",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic Surgeons LTD
• Orthopedic Surgeons LTD
• Orthopedic Surgeons LTD
• Orthopedic Surgeons, LTD
• Jonathan Ortiz, D.O.
• Jessica E Over, MA CCC-SLP
• Kristine V Owen I
• Leah Paddock
• David E Paden, O.D.
• Casey Colin Padgett

• Physical Therapy Assistant in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.