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

Derek B Heiser, DPT

Individual provider Physical Therapist · NPI 1558740720

Derek B Heiser, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2015, 11 years ago. Practices with Jacksonville Orthopaedic Institute Inc, a 61-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
11
Licensed in
FL, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5393 Roosevelt Blvd Ste 17
Jacksonville, FL 32210-8424
Phone: (904) 389-8570
Fax: (904) 389-8599
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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 PT30517 (FL)
Physical Therapist Taxonomy 225100000X · Licence 2305209392 (VA)

Record details

NPI number1558740720
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 21, 2015
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Jacksonville Orthopaedic Institute Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jacksonville