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

Individual provider Physical Therapist · NPI 1578053526

Derek Bershad, PT, DPT is a Physical Therapist in Private Practice in Lake Grove, New York. Qualified in 2017, 9 years ago. Practices with Massapequa PT and PTA PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
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

2848 Middle Country Rd
Lake Grove, NY 11755-2104
Phone: (631) 780-5550
Fax: (631) 285-2124
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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 042950-1 (NY)

Record details

NPI number1578053526
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 17, 2018
Mailing address18 Hamilton Pl, Lake Grove, NY 11755-1915

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Massapequa Pt And Pta Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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