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

Individual provider Physical Therapy Assistant · NPI 1053667469

Mr. Derrick S Tipton, PTA is a Physical Therapy Assistant in Zephyrhills, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
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

5939 Gall Blvd
Zephyrhills, FL 33542
Phone: (816) 932-3315
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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 PTA 23080 (FL)

Record details

NPI number1053667469
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESAugust 3, 2012

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