Derek Sheets

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54006 Issued in CA

Practice address

585 Nut Tree CT
Vacaville, CA 95687-3353

Phone

(707) 449-8000

NPI assigned

Apr 17, 2025

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1336935014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 NUT TREE CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873353",
            "telephone_number": "707-449-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark M. Shaw, PH.D.
• Kevin She, RPH
• Yifan She, PHARMD
• Karen Sheehy
• Paul William Sheeran, DMD
• Shelton Chiropractic Corporation
• Jessica Shen, PHARM.D.
• Leslie Shepley
• Kalveen Shergill, BCAT
• Donovan Shields, PHYSICAL THERAPIST

• Physical Therapy Assistant in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.