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

Derek L Rodigo

Individual provider Physical Therapist · NPI 1942058417

Derek L Rodigo is a Physical Therapist in Private Practice in Emmett, Idaho. Qualified in 2024, 2 years ago. Practices with Peak Physical Therapy P C, a 24-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

809 S Washington Ave
Emmett, ID 83617-3528
Phone: (208) 365-5341
Fax: (208) 365-5342
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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 9024 (ID)

Record details

NPI number1942058417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2024
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peak Physical Therapy P C — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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