Active NPI
Derek Colpaert, PTA
- Physical Therapy Assistant
- Monroe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502003910
- Practice address
- 580 N Telegraph Rd Unit B
Monroe, MI 48162-3337 - Phone
- (734) 430-8330
- Fax
- (734) 430-8331
- NPI assigned
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502003910 | MI | Primary |
Addresses
Primary practice location
580 N Telegraph Rd Unit B
Monroe, MI 48162-3337
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other practice location 1
123 W 1st St Ste A
Monroe, MI 48161-2447
Phone (734) 430-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502003910 | MI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Current | Accepting new patients | |
| Team Rehabilitation Services, LLC | Past | Accepting new patients |
Locations
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
123 W 1st St
Ste A
Monroe, MI 48161
Phone (734) 430-8330
580 N Telegraph Rd
Unit B
Monroe, MI 48162
Phone (734) 430-8330
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.
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1417629197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N TELEGRAPH RD UNIT B",
"city": "MONROE",
"state": "MI",
"postal_code": "481623337",
"telephone_number": "734-430-8330",
"fax_number": "734-430-8331"
}
],
"practiceLocations": [
{
"address_1": "123 W 1st St Ste A",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481612447",
"country_code": "US",
"telephone_number": "734-430-8330",
"fax_number": "734-430-8331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLPAERT",
"first_name": "DEREK",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-01",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502003910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.