Derrick Blaine Hines, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08100 Issued in LA

Practice address

1144 Coolidge Blvd
Suite F
Lafayette, LA 70503-2622

Phone

(337) 232-8721

NPI assigned

Aug 1, 2011

Last updated

Feb 26, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Performance Rehab IncGroup PAC ID 8426272774, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pain and Performance Rehab, Inc.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1942625314
  Medicare reassignment Care Compare group NPD Authorized official
• Laborde Hand and Occupational Therapy Center

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1316275027
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1922386572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 ASHLAND CT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085373",
            "telephone_number": "337-232-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 COOLIDGE BLVD",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032622",
            "telephone_number": "337-232-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "DERRICK",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6216",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I656395",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewis Wayne Hill Jr., MD
• Victoria Hill
• Cole Hillebrandt, M.D.
• Floyd Michael Hindelang III
• Matthew Hindelang, PT, DPT
• Patty Hines
• Richard A Hines Jr., M.D.
• Ronald Wayon Hines, BS. LAC, AADC, CCS
• Valerie N Hines
• Hitchin' a Joy Ride

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.