Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Derek Stapleton, PT, DPT, ATC, LAT

Individual provider Physical Therapist · NPI 1174181887

Dr. Derek Stapleton, PT, DPT, ATC, LAT is a Physical Therapist in Private Practice in Wylie, Texas. Qualified in 2023, 3 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Texas.

Years since qualifying
3
Licensed in
NC, TX
In the registry since
2019
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

809 Woodbridge Pkwy Ste 200
Wylie, TX 75098-7151
Phone: (469) 838-4074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3511 Maitland Dr Ste 102, Raleigh, NC 27610-1239 — (984) 325-9030
  • 12747 Midway Rd Ste 150, Dallas, TX 75244-6304 — (972) 979-6577

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1393401 (TX)
Physical Therapist Taxonomy 225100000X · Licence P22646 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence LAT-5506 (NC)

Record details

NPI number1174181887
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC , LAT
Sole proprietorYes
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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