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

Jade Derder, PT

Individual provider Physical Therapist · NPI 1790305563

Jade Derder, PT is a Physical Therapist in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
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

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3311
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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 070023644 (IL)

Record details

NPI number1790305563
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing address611 W. Park St., Fapc, Urbana, IL 61801

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