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

Derrick Boyd, PTA, BS

Individual provider Physical Therapy Assistant · NPI 1376153874

Derrick Boyd, PTA, BS is a Physical Therapy Assistant in Godfrey, Illinois. Practices as a sole proprietor. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1373 Dadrian Professional Park
Godfrey, IL 62035-1767
Phone: (706) 261-8467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2020030538 (MO)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160.008973 (IL)

Record details

NPI number1376153874
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , BS
Sole proprietorYes
NPI enumeratedAugust 9, 2020
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020
Mailing address1978 Oberlin Dr Apt 1978, Saint Louis, MO 63146-2868

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