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

Derrick Mathis

Individual provider Driver · NPI 1093086688

Derrick Mathis is a Driver in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
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Practice location Address checks out

1551 N 29th St Ste 1
Philadelphia, PA 19121-3620
Phone: (267) 988-5613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Driver Taxonomy 172A00000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Home Health Aide Taxonomy 374U00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1093086688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2012
Last updated in NPPESJanuary 13, 2012
Mailing address3202 Hamilton St, Suite 1, Philadelphia, PA 19104-2517

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