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

Mr. Derek Wade Puckett, RPT

Individual provider Physical Therapist · NPI 1851484422

Mr. Derek Wade Puckett, RPT is a Physical Therapist in Private Practice in Florence, Mississippi. Qualified in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
31
Licensed in
MS
In the registry since
2006

Practice location Address checks out

3000 Hwy 49 S
Florence, MS 39073
Phone: (601) 845-8282
Fax: (601) 845-8290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1702 (MS)

Record details

NPI number1851484422
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESMarch 23, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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