Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael Derry

Individual provider Physical Therapist · NPI 1285015024

Michael Derry is a Physical Therapist in Ponte Vedra, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2015.

Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

131 Valley Grove Dr
Ponte Vedra, FL 32081-6165
Phone: (309) 267-9873
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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 PT35704 (FL)
Physical Therapist Taxonomy 225100000X · Licence 070021601 (IL)

Record details

NPI number1285015024
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients15
Services billed 318 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Ponte Vedra