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

Deryl Pace, PT

Individual provider Physical Therapist · NPI 1124492822

Deryl Pace, PT is a Physical Therapist in Private Practice in Providence, Rhode Island. Qualified in 2015, 11 years ago. Practices with Elite Physical Therapy LLC, a 74-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
11
Licensed in
RI
In the registry since
2015
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

285 Governor St
Providence, RI 02906-3237
Phone: (401) 276-0800
Fax: (401) 276-0808
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT02871 (RI)

Record details

NPI number1124492822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 18, 2015
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address237 Winthrop St, Rehoboth, MA 02769-2601

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Elite Physical Therapy Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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