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

Derek Pond, DPT

Individual provider Physical Therapist · NPI 1104299858

Derek Pond, DPT is a Physical Therapist in Private Practice in Logan, Utah. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

55 E 100 N Ste 201B
Logan, UT 84321-4648
Phone: (385) 595-8892
Fax: (385) 331-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8831 S Redwood Rd Ste C3, West Jordan, UT 84088-9265 — (385) 595-8892

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7504047-2401 (UT)

Record details

NPI number1104299858
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 3, 2015
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address55 E 100 N Ste 201b, Logan, UT 84321-4648

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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