Derek Tao, PT, DPT

Physical Therapist in Sunnyvale, CA. Individual provider (NPI-1).

NPI number1194340232

StatusActive

Last updated in NPPESMay 17, 2022

Details

NPI: 1194340232
Entity type: Individual (NPI-1)
Name: Derek Tao
Credential: PT, DPT
Sex: Male
Sole proprietor: No
Enumeration date: Jun 15, 2020
Certification date: May 17, 2022
Last updated: May 17, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	299253	CA	Yes
225100000X	Physical Therapist	–	–
2251X0800X	Physical Therapist, Orthopedic	–	–

Practice location

1085 W El Camino Real
Sunnyvale, CA 94087-1030

Phone 408-523-3060

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Is something wrong?

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Other Physical Therapist providers in Sunnyvale, CA

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