Individual provider Active NPI

Derek Steveson, D.P.T.

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1790885564
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3665 Issued in AZ
Practice address
2065 S Cottonwood Dr Ste 1
Tempe, AZ 85282-3040
Phone
(480) 968-2020
Fax
(480) 968-0404
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 3665 AZ Primary

Addresses

Primary practice location

2065 S Cottonwood Dr Ste 1
Tempe, AZ 85282-3040

Mailing address

2065 S Cottonwood Dr Ste 1
Tempe, AZ 85282-3040
Phone (480) 968-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000249 AZ Practitioner - Physical Therapist in Private Practice 3678593365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Performance Center LLCGroup PAC ID 5991725681, 3 clinicians

Practice addresses (Care Compare)

2065 S Cottonwood Dr
Suite 1
Tempe, AZ 85282-3040
Phone (480) 968-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3665AZMDOccupational Therapist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1790885564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 S COTTONWOOD DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-968-2020",
            "fax_number": "480-968-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 S COTTONWOOD DR STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823040",
            "telephone_number": "480-968-2020",
            "fax_number": "480-968-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVESON",
        "first_name": "DEREK",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.