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Derek Ray Ellgen, DPT

NPI 1548783707ActiveIndividual· Physical Therapist· Mount Pleasant, UT

Physical Therapist (DPT) with Mountain Land Rehabilitation LLC and 1 other group, practicing in Mount Pleasant, Utah. Medicare paid $58,186 for services to 78 patients in 2024.

Overview

NPI1548783707
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedJul 19, 2017
Last updated in NPPESMar 17, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X10448742-2401UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (UT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients78
Services billed3,332 across 13 procedure codes
Paid by Medicare$58,186

Medicare sources and data years

Education and affiliations

Graduation year2017
Medicare specialtyPhysical Therapist In Private Practice

Medical groups

Source: CMS Care Compare