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

Derek A Willis, DPT

Individual provider Physical Therapist · NPI 1851634521

Derek A Willis, DPT is a Physical Therapist in Private Practice in Chester, New York. Qualified in 2012, 14 years ago. Practices with PT and OT for Senior Rehab at Home PLLC, a 97-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
14
Licensed in
NJ, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

20 Trotting Dr
Chester, NY 10918-1120
Phone: (457) 425-1218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 036045 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA01490500 (NJ)

Record details

NPI number1851634521
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 1, 2013
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address271 Grand St, New York, NY 10002-4464

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pt And Ot For Senior Rehab At Home Pllc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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