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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL DERRY

Active

MICHAEL DERRY is a Physical Therapy Assistant healthcare provider located in PONTE VEDRA, Florida. NPI 1285015024 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PONTE VEDRA, FL

Registration Details

NPI Number
1285015024
Provider Type
Individual
Gender
Male
NPI Issued
Jun 17, 2015 (11.16273577992 yrs)
Last Updated
Jun 8, 2020
Licenses
PT35704 (FL)
070021601 (IL)

Practice Information

Address
131 VALLEY GROVE DR
PONTE VEDRA, FL, 320816165
Browse FL providers · Browse ZIP 32081
Phone
3092679873
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PONTE VEDRA, FL

Name Credential NPI
WILLIAM S MACRI BS PT 1619940251
MARK DAVID FAY P.T. 1750320172
AMBER LEE KENNEY MPT, MTC 1528071909
MATTHEW C SERLO MPT 1790894418
ASHLEY UPDIKE 1811194616
DR. LAURA ANN KASYCH PT 1669656443
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.