MR. DEREK RYDEN HANEY (P.T., DPT) – Physical Therapist, NPI 1619027760

MR. DEREK RYDEN HANEY (P.T., DPT) is a healthcare provider. based in Stephenville, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T., DPT. They hold a License No. 3102935 (TX). The NPI Number for MR. DEREK RYDEN HANEY (P.T., DPT) is 1619027760

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. DEREK RYDEN HANEY (P.T., DPT)
NPI
1619027760
Phone
(254) 965-2040
Address
2269 NORTHWEST LOOP
Enumeration Date
11 January 2007
Last Update Date
4 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2544315100
Graduation Year
2006 (20 years ago)
PAC ID
8820190937
Group Practice PAC ID
8729466552
Professional Enrollment ID
I20070220000629
Address ID
TX764013734ST2900XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for MR. DEREK RYDEN HANEY (P.T., DPT)

  • 2269, Northwest Loop, Stephenville, Erath County, Texas, 76401, United States

    STEPHENVILLE, TX 76401

    Phone: (254) 965-2040

    Fax: (254) 965-2723

    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: 2007-02-20

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
I20070220000629IPhysical Therapist In Private PracticeTXTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,63393$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,20784$0
97530Therapy procedure using functional activities78767$0
97162Evaluation for physical therapy, typically 30 minutes5252$0
97163Evaluation for physical therapy, typically 45 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 76401)

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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: 8729466552View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Where can patients find MR. DEREK RYDEN HANEY (P.T., DPT)'s NPI?
You can confirm MR. DEREK RYDEN HANEY (P.T., DPT) with NPI 1619027760; it appears in the national provider directory.
Is MR. DEREK RYDEN HANEY (P.T., DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. DEREK RYDEN HANEY (P.T., DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MR. DEREK RYDEN HANEY (P.T., DPT). Clinical services aligned with this taxonomy classification.
Where does public data place MR. DEREK RYDEN HANEY (P.T., DPT)?
The snapshot lists Stephenville, Texas for MR. DEREK RYDEN HANEY (P.T., DPT); download NPPES for the complete set.
What if Stephenville, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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