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

Derek Barker Buckner, PT

Individual provider Physical Therapist · NPI 1659019222

Derek Barker Buckner, PT is a Physical Therapist in Private Practice in Lehi, Utah. Qualified in 2021, 5 years ago. Licensed in Utah.

Years since qualifying
5
Licensed in
UT
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3249 N 1200 W
Lehi, UT 84043-9772
Phone: (801) 753-4371
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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 12696815-2401 (UT)

Record details

NPI number1659019222
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing addressPo Box 25537, Salt Lake City, UT 84125-0537

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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