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

Dr. Derreck Dixon, PT, DPT

Individual provider Physical Therapist · NPI 1003537861

Dr. Derreck Dixon, PT, DPT is a Physical Therapist in Private Practice in Fredericksburg, Virginia. Graduated from Marymount University in 2022, 4 years ago. Practices with Dominion Physical Therapy LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Trained at
Marymount University
Licensed in
VA
In the registry since
2022
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

4701 Spotsylvania Pkwy Ste 106
Fredericksburg, VA 22407-9435
Phone: (540) 710-0100
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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 2305215314 (VA)

Record details

NPI number1003537861
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address5 Bruce St, Stafford, VA 22554-6581

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMARYMOUNT UNIVERSITY
Graduated 2022 (4 years in practice)
Group practice Dominion Physical Therapy Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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