MRS. ANGELA M DERRICK DPT
NPI 1093775447
Physical Therapist in Carrollton, IL
About Mrs. Angela M Derrick Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ANGELA M DERRICK DPT (NPI 1093775447) is an individual physical therapist in Carrollton, Illinois, licensed in Illinois (070018073) and active in the NPI registry since March 2006. She is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Angela M Derrick Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Derrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Quincy, IL 62301
- Reassigned Medicare billing, Illinois enrollment
- 5 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 7
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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Angela Derrick's NPI number?
The NPI number for Angela Derrick is 1093775447. It was assigned to this individual provider in the NPPES registry on March 27, 2006. The provider is also known as Miss Angela M Schroeder Mpt.
Where is Angela Derrick located?
Angela Derrick practices at 800 School St, Carrollton, IL 62016. The listed phone number is (217) 942-6946.
What is Angela Derrick's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Angela Derrick enrolled in Medicare?
Yes. Angela Derrick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Derrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Derrick reassigns Medicare benefits to Booher Health LLC (Quincy, IL). 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 Angela Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Angela Derrick was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.