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

Derek Wax

Individual provider Physical Therapist · NPI 1295664696

Derek Wax is a Physical Therapist in Private Practice in Minot, North Dakota. Practices with 360 Physical Therapy, a 3-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Licensed in
ND
In the registry since
2026
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Practice location Address checks out

400 S Broadway Ste B
Minot, ND 58701-4403
Phone: (701) 852-5040
Fax: (701) 852-5045
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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 2857 (ND)

Record details

NPI number1295664696
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2026
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026
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 2026 (0 years in practice)
Group practice 360 Physical Therapy — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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