- Practice location
- 20 Trotting Dr, Chester, NY 10918-1120
- Phone
- 457-425-1218
- Fax
- —
- Last updated
- June 9, 2025
Derek A Willis is a Physical Therapist based in Chester, NY. Derek A Willis practices in Chester, NY and has the professional credentials of DPT. The NPI Number for Derek A Willis is 1851634521 and holds a License No. 40QA01490500 (NJ). The current practice location address for Derek A Willis is 20 Trotting Dr, Chester, NY 10918-1120 and can be reached out via phone at 457-425-1218.
Provider Profile Details
- NPI Number
- 1851634521
- Provider Name
- Derek A Willis
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Trotting Dr, Chester, NY 10918-1120
- Phone Number
- 457-425-1218
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2013
- Last Update Date
- June 9, 2025
- Certification Date
- June 9, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Trotting Dr
Chester, NY 10918-1120 - City
- Chester
- State
- New York
- Zip
- 10918-1120
- Phone Number
- 457-425-1218
Provider Business Mailing Address Details
- Address
- 271 Grand St
New York, NY 10002-4464 - City
- New York
- State
- NY
- Zip
- 10002-4464
- Phone Number
- 464-768-3006
License Information
- License Number (1)
- 40QA01490500
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 036045
- License State (2)
- NY
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Derek A Willis, DPT?
The NPI number of Derek A Willis, DPT is 1851634521. It was assigned on April 1, 2013 and is currently active in the NPPES registry.
What is the specialty of Derek A Willis, DPT?
Derek A Willis, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01490500.
Where does Derek A Willis, DPT practice?
The practice location is 20 Trotting Dr, Chester, NY 10918-1120. The office can be reached at 457-425-1218 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851634521 directly on the NPPES registry website.