Derrick Acosta

Individual provider Active NPI Physical Therapy Assistant · Orange City, FL

NPI 1407762909 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1407762909
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA34934 (FL)
Practice address
2864 Wellness Ave Ste 100
Orange City, FL 32763-8335
Phone
(386) 575-4027
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA34934 FL Yes

Addresses

Primary practice location

2864 Wellness Ave Ste 100
Orange City, FL 32763-8335

Mailing address

8206 Stonebrook Dr
Sanford, FL 32773-4994
Phone (915) 929-6884

Other providers in Orange City, FL

All providers in Orange City, FL · Physical Therapy Assistant in Florida

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.