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Deryl Pace, PT

NPI 1124492822ActiveIndividual· Physical Therapist· Providence, RI

Physical Therapist (PT) with Elite Physical Therapy LLC, practicing in Providence, Rhode Island. Medicare paid $31,372 for services to 33 patients in 2024.

Overview

NPI1124492822
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedNov 18, 2015
Last updated in NPPESJan 3, 2022
Certified by providerJan 3, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XPT02871RI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (RI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients33
Services billed1,336 across 6 procedure codes
Paid by Medicare$31,372

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Providence

All 215 physical therapists in Providence · All physical therapists in Rhode Island