Michael Derry
NPI 1285015024ActiveIndividual· Physical Therapist· Ponte Vedra, FL
Physical Therapist in Ponte Vedra, Florida, licensed in FL and IL, with an NPI issued in June 2015. Medicare paid $6,489 for services to 15 patients in 2024.
Overview
| NPI | 1285015024 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 17, 2015 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT35704 | FL |
| Physical Therapist | 225100000X | 070021601 | IL |
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 | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 318 across 5 procedure codes |
| Paid by Medicare | $6,489 |
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All 29 physical therapists in Ponte Vedra · All physical therapists in Florida