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

Derrick Northrup, PT

Individual provider Physical Therapist · NPI 1124196340

Derrick Northrup, PT is a Physical Therapist in Chubbuck, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

605 Taylor Ln
Chubbuck, ID 83202-5169
Phone: (208) 221-6952
Fax: (844) 946-0909
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1280 (ID)

Record details

NPI number1124196340
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020
Mailing address605 Taylor Ln, Chubbuck, ID 83202-5169

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