Derek Stapleton, PT, DPT, ATC, LAT
NPI 1174181887ActiveIndividual· Physical Therapist· Wylie, TX
Physical Therapist (PT, DPT, ATC, LAT) with Ideal Physical Therapy of Texas LLC, practicing in Wylie, Texas. Medicare paid $47,010 for services to 92 patients in 2024.
Overview
| NPI | 1174181887 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC, LAT |
| Sole proprietor | Yes |
| NPI issued | May 29, 2019 |
| Last updated in NPPES | May 16, 2025 |
| Certified by provider | May 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 1393401 | TX |
| Physical Therapist | 225100000X | P22646 | NC |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | LAT-5506 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
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Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 2,162 across 9 procedure codes |
| Paid by Medicare | $47,010 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Ideal Physical Therapy of Texas LLCCarrollton, TX · 364 clinicians
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All 49 physical therapists in Wylie · All physical therapists in Texas