Individual provider Active NPI

Derek Lee, DPT

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1396116596
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3374 Issued in AR
Practice address
2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone
(479) 442-7473
Fax
(479) 239-5444
NPI assigned
Oct 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 PT 3374 AR Primary

Addresses

Primary practice location

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796

Mailing address

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone (479) 442-7473

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123000366 AR Practitioner - Physical Therapist in Private Practice 5597046664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Physical Therapy IncGroup PAC ID 9133400203, 35 clinicians

Practice addresses (Care Compare)

2668 E Citizens Dr
Suite 5
Fayetteville, AR 72703-4796
Phone (479) 442-7473

5104 S Pinnacle Hills Pkwy
Suite 1C
Rogers, AR 72758-6076
Phone (479) 337-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3374ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy, Inc. Physical Therapist CurrentSince Aug 27, 2023 Accepting new patients
Rise Physical Therapy, Inc. CurrentSince Sep 12, 2016 Accepting new patients

Locations

2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473

1188 N Salem Rd
Ste 1
Fayetteville, AR 72704
Phone (479) 442-7473

5104 S Pinnacle Hills Pkwy
Ste 1C
Rogers, AR 72758
Phone (479) 337-7345

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1396116596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-13",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.