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DERRICK JESSE PHILLIPS
NPI 1700512423
Massage Therapist in Arlington, TX

Active since July 26, 2022
1616 RIDGE HAVEN DR APT 510, ARLINGTON, TX 76011(817) 658-8367 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Jesse Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK JESSE PHILLIPS (NPI 1700512423) is an individual massage therapist in Arlington, Texas, licensed in Texas (1315697) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1700512423
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDERRICK JESSE PHILLIPS
Location Address1616 RIDGE HAVEN DR APT 510Arlington, TX 76011-9097
Mailing Address1616 Ridge Haven Dr Apt 510Arlington, TX 76011-9097 · (817) 658-8367
Phone(817) 658-8367
Sole ProprietorYes
Enumeration DateJuly 26, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1700512423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TX · 1315697
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1616 RIDGE HAVEN DR APT 510, Arlington, TX 76011
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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 Derrick Phillips's NPI number?

The NPI number for Derrick Phillips is 1700512423. It was assigned to this individual provider in the NPPES registry on July 26, 2022.

Where is Derrick Phillips located?

Derrick Phillips practices at 1616 Ridge Haven Dr Apt 510, Arlington, TX 76011. The listed phone number is (817) 658-8367.

What is Derrick Phillips's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Derrick Phillips was last updated on July 26, 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.