DR. DEREK STAPLETON (PT, DPT, ATC, LAT) – Physical Therapist, NPI 1174181887
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA
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Provider Addresses for DR. DEREK STAPLETON (PT, DPT, ATC, LAT)
132, North 9th Street, Terre Haute, Vigo County, Indiana, 47807, United States
INDIANA, PA 157011713
Phone:
Type: Mailing
12747 Midway Rd Ste 150
Dallas, TX 752446304
Phone: (972) 979-6577
Type: Location
3511 Maitland Dr Ste 102
Raleigh, NC 276101239
Phone: (984) 325-9030
Type: Location
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone: (866) 370-8206
Type: Mailing
809 WOODBRIDGE PKWY STE 200
WYLIE, TX 750987151
Phone: (469) 838-4074
Type: Location
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: 2024-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240701000006 | I | Physical Therapist In Private Practice | TX | TBD |
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.
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 15701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Occupational Therapist In Private Practice | TX | |
| - | IL | |
| Physical Therapist In Private Practice | LA | |
| Physical Therapist In Private Practice | IL | |
| - | TN | |
| - | TX | |
| - | TX | |
| Physical Therapist In Private Practice | FL | |
| Occupational Therapist In Private Practice | TX |
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