DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) – Physical Therapist, NPI 1023542479

DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) is a healthcare provider. based in The villages, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT,DPT,ATC. They hold a License No. PT31173 (FL). The NPI Number for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) is 1023542479

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC)
NPI
1023542479
Phone
(352) 674-4700
Address
3890 WOODRIDGE DR
Enumeration Date
12 April 2017
Last Update Date
12 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419262909
Graduation Year
2015 (11 years ago)
PAC ID
5991077091
Group Practice PAC ID
5395091722
Professional Enrollment ID
I20170824002056
Address ID
FL342332413SA5717XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC)

  • Woodridge Drive, The Villages, Sumter County, Florida, 32162, United States

    THE VILLAGES, FL 321627186

    Phone: (352) 674-4700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170824002056IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32162)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395091722View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeNY
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Is there an official ID for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) in U.S. healthcare records?
The official identifier for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) is NPI 1023542479.
Is DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) still an active registrant?
DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC) carries an active NPI according to the public dataset.
How would a patient describe DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC)'s focus?
For DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC)?
Travel planning: use The Villages, Florida as the reference point for DR. DEREK DAVID BENTHUSEN (PT,DPT,ATC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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