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

Mr. Derick Page, PTA

Individual provider Physical Therapy Assistant · NPI 1629270624

Mr. Derick Page, PTA is a Physical Therapy Assistant in Cheyenne, Wyoming. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1330 Prairie Ave
Cheyenne, WY 82009-4842
Phone: (307) 778-8997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306001374 (VA)

Record details

NPI number1629270624
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 1, 2007
Last updated in NPPESJuly 8, 2007
Mailing address8132 Old Tavern Rd, Roanoke, VA 24019-6807

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