Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dalton Derthick, PT, DPT, CSCS

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1811412778

Dalton Derthick, PT, DPT, CSCS is a Physical Medicine & Rehabilitation Physician in Tempe, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4703 S Lakeshore Dr Ste 2
Tempe, AZ 85282-7159
Phone: (480) 718-9493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 13226PT (AZ)

Record details

NPI number1811412778
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedAugust 11, 2017
Last updated in NPPESSeptember 6, 2017

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