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

Mr. Derek Kenneth Mixon, DPT

Individual provider Physical Therapist · NPI 1235625377

Mr. Derek Kenneth Mixon, DPT is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with In Motion Physical Therapy LLC, a 4-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4776 Hodges Blvd Ste 101
Jacksonville, FL 32224-7218
Phone: (904) 223-2363
Fax: (904) 223-2365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1235625377
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice In Motion Physical Therapy Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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