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

Derick Williams Moody, LMP

Individual provider Physical Therapy Assistant · NPI 1558601674

Derick Williams Moody, LMP is a Physical Therapy Assistant in Bremerton, Washington. Licensed in Washington. Registered with an NPI since 2013.

Licensed in
WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
LMP — Licensed Massage Practitioner
A state-licensed massage practitioner.

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Practice location Address checks out

4060 Wheaton Way Ste C
Bremerton, WA 98310-3500
Phone: (360) 479-8477
Fax: (360) 479-8417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA60298052 (WA)
Physical Therapy Assistant Taxonomy 225200000X · Licence P160045527 (WA)

Record details

NPI number1558601674
Entity typeIndividual (Type 1)
GenderMale
Credentials LMP
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESJuly 10, 2013

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