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

Derek Rollyson

Individual provider Physical Therapy Assistant · NPI 1740973015

Derek Rollyson is a Physical Therapy Assistant in Vienna, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

2200 Grand Central Ave
Vienna, WV 26105-1300
Phone: (304) 428-2554
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 002003 (WV)

Record details

NPI number1740973015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address2200 Grand Central Ave Ste 101, Vienna, WV 26105-1300

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