Individual provider Active NPI

Derek Michael Pirro, PHYSICAL THERAPIST

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1386739076
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18760 Issued in FL
Practice address
406 Vineyards Blvd
Naples, FL 34119-4701
Phone
(239) 353-6161
NPI assigned
Oct 4, 2006
Last updated
Jan 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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 PT18760 FL Primary

Addresses

Primary practice location

406 Vineyards Blvd
Naples, FL 34119-4701

Mailing address

406 Vineyards Blvd
Naples, FL 34119-4701
Phone (239) 353-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000085 FL Practitioner - Physical Therapist in Private Practice 5092763854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naples Rehabilitative Services LLCGroup PAC ID 0547508517, 2 clinicians

Practice addresses (Care Compare)

400 Vineyards Blvd
Naples, FL 34119-4701
Phone (239) 353-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Rehabilitative Services LLC Physical Therapist CurrentSince Dec 20, 2019 Accepting new patients

Locations

400 Vineyards Blvd
Naples, FL 34119
Phone (239) 353-6161

406 Vineyards Blvd
Naples, FL 34119
Phone (239) 353-6161

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1386739076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 VINEYARDS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194701",
            "telephone_number": "239-353-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 VINEYARDS BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194701",
            "telephone_number": "239-353-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRO",
        "first_name": "DEREK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2020; 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.