Active NPI
Derek Allen Wengert
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5660 W Cortaro Farms Rd Ste 108
Tucson, AZ 85742-9800 - Phone
- (520) 462-6167
- Fax
- (602) 795-8447
- NPI assigned
- Mar 30, 2023
- Last updated
- May 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary | |
| Orthopedic Physical Therapist | 2251X0800X | 1275711897 | UT |
Addresses
Primary practice location
5660 W Cortaro Farms Rd Ste 108
Tucson, AZ 85742-9800
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
83 S 2600 W
Hurricane, UT 84737-3266
Phone (435) 635-9333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5660 W Cortaro Farms Rd
Suite 108
Tucson, AZ 85742-9800
Phone (520) 462-6167
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1275711897 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gubler's Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
12162 N Rancho Vistoso Blvd
Ste 120
Oro Valley, AZ 85755
Phone (520) 229-0009
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
5660 W Cortaro Farms Rd
Ste 108
Tucson, AZ 85742
Phone (520) 462-6167
6261 N La Cholla Blvd
Ste 211
Tucson, AZ 85741
Phone (520) 229-3300
790 Remington Blvd
Bolingbrook, IL 60440
83 S 2600 W
Ste 201
Hurricane, UT 84737
Phone (435) 635-9333
Organizations & group practices 3
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.
-
- Physical Therapist
- Hurricane, UT
- NPI 1275711897
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1437853595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 W CORTARO FARMS RD STE 108",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857429800",
"telephone_number": "520-462-6167",
"fax_number": "602-795-8447"
}
],
"practiceLocations": [
{
"address_1": "83 S 2600 W",
"address_purpose": "LOCATION",
"city": "Hurricane",
"state": "UT",
"postal_code": "847373266",
"country_code": "US",
"telephone_number": "435-635-9333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENGERT",
"first_name": "DEREK",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "1275711897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.