DERRICK CHRISTOPHER PENTICUFF
NPI 1770107179
Physical Therapist in Pueblo, CO
About Derrick Christopher Penticuff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK CHRISTOPHER PENTICUFF (NPI 1770107179) is an individual physical therapist in Pueblo, Colorado and active in the NPI registry since June 2020.
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick Christopher Penticuff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derrick Penticuff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pueblo, CO 81008
- Reassigned Medicare billing, Colorado enrollment
- 9 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 5
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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUEBLO, CO 81008
PUEBLO, CO 81008
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 Penticuff's NPI number?
The NPI number for Derrick Penticuff is 1770107179. It was assigned to this individual provider in the NPPES registry on June 1, 2020.
Where is Derrick Penticuff located?
Derrick Penticuff practices at 4115 Club Manor Dr, Pueblo, CO 81008. The listed phone number is (968) 568-9790.
What is Derrick Penticuff's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Derrick Penticuff enrolled in Medicare?
Yes. Derrick Penticuff is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derrick Penticuff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derrick Penticuff reassigns Medicare benefits to Synergy Physical Therapy And Wellness (Pueblo, CO). 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 Derrick Penticuff'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 Derrick Penticuff was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.