MR. DERRICK S TIPTON (PTA) – Physical Therapy Assistant, NPI 1053667469

MR. DERRICK S TIPTON (PTA) is a healthcare provider. based in Tampa, Florida. specializing in Physical Therapy Assistant. They hold the professional credentials PTA. They hold a License No. PTA 23080 (FL). The NPI Number for MR. DERRICK S TIPTON (PTA) is 1053667469

Main info

Male
Sole Proprietor
Name
MR. DERRICK S TIPTON (PTA)
NPI
1053667469
Phone
(813) 481-8632
Address
8730 N HIMES AVE APT 1209
Enumeration Date
3 August 2012
Last Update Date
3 August 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MR. DERRICK S TIPTON (PTA)

  • 8730 N HIMES AVE APT 1209

    TAMPA, FL 336148308

    Phone: (813) 481-8632

    Type: Mailing

  • 5939 GALL BLVD.

    ZEPHYRHILLS, FL 33542

    Phone: (816) 932-3315

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 33614)

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Frequently asked questions

Where can patients find MR. DERRICK S TIPTON (PTA)'s NPI?
You can confirm MR. DERRICK S TIPTON (PTA) with NPI 1053667469; it appears in the national provider directory.
Is MR. DERRICK S TIPTON (PTA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. DERRICK S TIPTON (PTA) work in?
You can think of MR. DERRICK S TIPTON (PTA) as practicing within Physical Therapy Assistant. Clinical services aligned with this taxonomy classification.
What location shows for MR. DERRICK S TIPTON (PTA)?
We surface Tampa, Florida for MR. DERRICK S TIPTON (PTA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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