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

Individual provider Physical Therapist · NPI 1518355494

Derek Bustos, PT is a Physical Therapist in Private Practice in Houghton, Michigan. Qualified in 2011, 15 years ago. Practices with Aspirus Keweenaw, a 116-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2014
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

1000 Cedar St
Houghton, MI 49931-1978
Phone: (906) 487-1710
Fax: (906) 487-9421
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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 5501015820 (MI)

Record details

NPI number1518355494
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 31, 2014
Last updated in NPPESDecember 31, 2014
Mailing address1000 Cedar St, Houghton, MI 49931-1978

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Aspirus Keweenaw — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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