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

Derek Ivan Thueson, PT

Individual provider Physical Therapist · NPI 1356663926

Derek Ivan Thueson, PT is a Physical Therapist in Private Practice in Provo, Utah. Qualified in 2004, 22 years ago. Practices with Star Physical Therapy LP, an 18-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2010
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-2299
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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 7525850-2401 (UT)

Record details

NPI number1356663926
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 23, 2010
Last updated in NPPESFebruary 23, 2010
Mailing addressPo Box 30180, Salt Lake City, UT 84130-0180

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Star Physical Therapy Lp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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