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

Individual provider Physical Therapist · NPI 1427283894

Derek Mario Decicco, MPT is a Physical Therapist in Private Practice in Irvine, California. Qualified in 2006, 20 years ago. Practices with Restorative Therapy Associates, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2009
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192
Phone: (714) 858-4617
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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 33639 (CA)

Record details

NPI number1427283894
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESFebruary 4, 2011
Mailing address1154 Mission Dr, Costa Mesa, CA 92626-4209

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Restorative Therapy Associates — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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