DEREK MICHAEL DAVID (PT, DPT) – Physical Therapist, NPI 1639740426

DEREK MICHAEL DAVID (PT, DPT) is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 4242 (NE). The NPI Number for DEREK MICHAEL DAVID (PT, DPT) is 1639740426

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DEREK MICHAEL DAVID (PT, DPT)
NPI
1639740426
Phone
(402) 488-4282
Address
3818 NORMAL BLVD
Enumeration Date
2 July 2021
Last Update Date
23 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024891999
Graduation Year
2021 (5 years ago)
PAC ID
3779986997
Group Practice PAC ID
1951682087
Professional Enrollment ID
I20210726003550
Address ID
NE685066821LI2845XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for DEREK MICHAEL DAVID (PT, DPT)

  • 3818 NORMAL BLVD

    LINCOLN, NE 685065240

    Phone: (402) 488-4282

    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: 2021-07-26

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
I20210726003550IPhysical Therapist In Private PracticeNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes80086$0
97140Therapy procedure using manual technique, each 15 minutes63373$0
97530Therapy procedure using functional activities19228$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care18331$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13928$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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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: 1951682087View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
-NE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

How is DEREK MICHAEL DAVID (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists DEREK MICHAEL DAVID (PT, DPT) with NPI 1639740426.
Does the file indicate DEREK MICHAEL DAVID (PT, DPT) is practicing under active NPI?
Directory data currently reports DEREK MICHAEL DAVID (PT, DPT) as active.
What is DEREK MICHAEL DAVID (PT, DPT) best known for clinically?
Directory data describes DEREK MICHAEL DAVID (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for DEREK MICHAEL DAVID (PT, DPT)?
DEREK MICHAEL DAVID (PT, DPT)'s geographic hint is Lincoln, Nebraska in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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