Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dereck Ivey

Individual provider Physical Therapist · NPI 1447182845

Dereck Ivey is a Physical Therapist in Private Practice in Frederick, Maryland. Works from 5 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2026
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Practice location Address checks out

801 Toll House Ave Ste H3
Frederick, MD 21701-6117
Phone: (240) 575-9260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9093 Ridgefield Dr Ste 201, Frederick, MD 21701-6712 — (410) 855-4855
  • 110 Baughmans Ln Ste 160, Frederick, MD 21702-4946 — (240) 651-1335
  • 12916 Conamar Dr Ste 103, Hagerstown, MD 21742-2760 — (301) 665-3731
  • 3501 John Simmons St Ste A203, Urbana, MD 21704-7964 — (301) 882-8382

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30869 (MD)

Record details

NPI number1447182845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address801 Toll House Ave Ste H3, Frederick, MD 21701-6117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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