DEREK TEDDER DPT, ATC
NPI 1043698665
Physical Therapist in South Jordan, UT
About Derek Tedder Dpt, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK TEDDER DPT, ATC (NPI 1043698665) is an individual physical therapist in South Jordan, Utah, licensed in Utah (7359412-2401) and active in the NPI registry since May 2015.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek Tedder Dpt, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Tedder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Magna, UT 84044
- Reassigned Medicare billing, Utah enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH JORDAN, UT 84009
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derek Tedder's NPI number?
The NPI number for Derek Tedder is 1043698665. It was assigned to this individual provider in the NPPES registry on May 14, 2015.
Where is Derek Tedder located?
Derek Tedder practices at 5126 W Daybreak Pkwy, South Jordan, UT 84009. The listed phone number is (801) 213-4500.
What is Derek Tedder's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Derek Tedder enrolled in Medicare?
Yes. Derek Tedder is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Tedder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Tedder reassigns Medicare benefits to Advanced Motion Physical Therapy Inc (Magna, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Tedder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Tedder accept?
Health plans from Molina Healthcare and Select Health list Derek Tedder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Derek Tedder was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.