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

Dr. Derek Tyler Wilson, PT, DPT

Individual provider Physical Therapist · NPI 1114743101

Dr. Derek Tyler Wilson, PT, DPT is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Pritchette Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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.

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Practice location Address checks out

8410 W Thomas Rd Ste 136
Phoenix, AZ 85037-3374
Phone: (623) 247-4478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-033905 (AZ)

Record details

NPI number1114743101
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pritchette Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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