MRS. JENNIFER LEE DERHAM DPT
NPI 1720124357
Physical Therapist in Arlington, WA

Active since January 30, 2007Accepts Medicare Assignment
96.97/100
CMS Quality Rating
7728 204TH ST. NE, #A, ARLINGTON, WA 98223(360) 403-8250(360) 403-0917 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Apr 1, 2016 (2 updates tracked since 2016).

About Mrs. Jennifer Lee Derham Dpt NPPES

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

MRS. JENNIFER LEE DERHAM DPT (NPI 1720124357) is an individual physical therapist in Arlington, Washington, licensed in Washington (PT00010288) and active in the NPI registry since January 2007. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1720124357
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JENNIFER LEE DERHAMCredential: DPT
Location Address7728 204TH ST. NE, #AArlington, WA 98223
Mailing Address11453 E Reuben AveMesa, AZ 85212-4113 · (425) 750-9526
Fax(360) 403-0917
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 30, 2007
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
NPI 1720124357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in WA · PT00010288 Licensed in AZ · 7452
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
7728 204TH ST. NE, Arlington, WA 98223

Other Names 1

Former Name (1)Ms. Jennifer Lee Bertagni Dpt

Other Identifiers 10

Other226582WA · L&i
Other8841BEWA · Regence
Other8156BEWA · Regence
Other8946137WA · L&i Crime
Other8869473WA · Medicare
Other3317BEWA · Regence B/s
Other8498560WA · Dshs
Other9788127WA · Aetna
OtherP00608949WA · Railroad Medicare
Other6417BEWA · Regence

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Lee Derham Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153411608
PECOS Enrollment IDI20160621001134

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.43
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
7728 204TH ST. NE, SUITE A
ARLINGTON, WA 98223

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 Jennifer Derham's NPI number?

The NPI number for Jennifer Derham is 1720124357. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Ms. Jennifer Lee Bertagni Dpt.

Where is Jennifer Derham located?

Jennifer Derham practices at 7728 204th St. NE #a, Arlington, WA 98223. The listed phone number is (360) 403-8250.

What is Jennifer Derham's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jennifer Derham enrolled in Medicare?

Yes. Jennifer Derham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Derham was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.