Bret Sheridan Derrick, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

01248 Issued in MO

Practice address

111 E Broadway Ste 340
Columbia, MO 65203-4208

Phone

(573) 808-2392

Fax

(888) 738-3034

NPI assigned

Jun 27, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rick Rother, P.T., P.C.

  • Physical Therapist
  • Columbia, MO
  • NPI 1306029095

  Ergonomics

  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1861699639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 340",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034208",
            "telephone_number": "573-808-2392",
            "fax_number": "888-738-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 340",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034208",
            "telephone_number": "573-808-2392",
            "fax_number": "888-738-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "BRET",
        "middle_name": "SHERIDAN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "MO",
            "license": "01248",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "01248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Dentlinger, PA
• Department of Neurology
• Regina Heyl Depietro, M.D.
• Dermatology Center of Columbia, LLC
• Christopher J Derose, O.D.
• Karen Derrick, RD
• Justin Michael Dersch, M.D.
• Leslie Joan Desha, FNP
• Thiago Queiroz Desouza, M.D.
• Darla K Despain, FNP

• Orthopedic Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.