DEREK LABRUM – Physical Therapist, NPI 1417487943

DEREK LABRUM is a healthcare provider. based in Price, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 10383859-2401 (UT). The NPI Number for DEREK LABRUM is 1417487943

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DEREK LABRUM
NPI
1417487943
Phone
Not provided
Address
PO BOX 933
Enumeration Date
18 June 2017
Last Update Date
18 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4353815100
Graduation Year
2017 (9 years ago)
PAC ID
4880957265
Group Practice PAC ID
5193706539
Professional Enrollment ID
I20180417002723
Address ID
UT845134532CA150XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for DEREK LABRUM

  • PO BOX 933

    PRICE, UT 845010933

    Phone:

    Type: Mailing

  • Castle Dale, Emery County, Utah, 84513, United States

    CASTLE DALE, UT 84513

    Phone: (435) 381-5100

    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: 2018-04-17

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
I20180417002723IPhysical Therapist In Private PracticeUTTBD

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 minutes3,230124$0
97530Therapy procedure using functional activities74760$0
97140Therapy procedure using manual technique, each 15 minutes18025$0
97161Evaluation for physical therapy, typically 20 minutes10094$0
View full utilization report →

Insurance plans in this area (ZIP 84501)

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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: 5193706539View full group profile
NameSpecialtyState
-UT
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

How do I look up DEREK LABRUM by NPI?
Use NPI 1417487943 when you need to reference DEREK LABRUM in forms, claims, or directories.
Does this profile mean DEREK LABRUM is currently active?
Yes — DEREK LABRUM appears active in the national provider directory.
What kind of provider is DEREK LABRUM?
The page reflects Physical Therapist for DEREK LABRUM. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEREK LABRUM?
The page summarizes Price, Utah for DEREK LABRUM; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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