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

Derek Tedder, DPT, ATC

Individual provider Athletic Trainer · NPI 1043698665

Derek Tedder, DPT, ATC is an Athletic Trainer in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2015.

Licensed in
UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

5126 W Daybreak Pkwy
South Jordan, UT 84009-5994
Phone: (801) 213-4500
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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 7359412-2401 (UT)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1043698665
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address5126 W Daybreak Pkwy, South Jordan, UT 84009-5994

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