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

Derrick Carrillo

Individual provider Physical Therapist · NPI 1730572801

Derrick Carrillo is a Physical Therapist in Private Practice in Midlothian, Texas. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2015

Practice location Address checks out

423 E Main St Ste 1
Midlothian, TX 76065-3345
Phone: (469) 747-1929
Fax: (469) 537-7038
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1336691 (TX)

Record details

NPI number1730572801
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2015
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026
Mailing address2606 Tall Meadows Dr, Midlothian, TX 76065-7504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midlothian