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

DEREK DEWITT, PT

Active Sole Proprietor

DEREK DEWITT, PT is a Physical Therapy Assistant healthcare provider located in FAIRMONT, West Virginia. NPI 1346735123 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRMONT, WV

Registration Details

NPI Number
1346735123
Provider Type
Individual
Gender
Male
NPI Issued
Jun 25, 2018 (8.1172049321157 yrs)
Last Updated
Sep 29, 2020
Licenses
003986 (WV)
P18077 (NC)
Sole Proprietor
Yes

Practice Information

Address
1509 FAIRMONT AVE
FAIRMONT, WV, 265542135
Browse WV providers · Browse ZIP 26554
Phone
3043630050
Fax
3043630048
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FAIRMONT, WV

Name Credential NPI
ERIC A BEARD P.T. 1295739761
MR. JAMES DEMUS PT 1336104736
MR. DEREK ALAN FALKENSTEIN PT 1326097544
ANDREW J. BARRISH PT 1427004191
RENEE RIFFLE MCGINNIS P.T. 1144260183
KELLY B DLUGOS PHYSICAL THERAPIST 1306888797
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.