DEREK SIVILLO DPT
NPI 1770299208
Physical Therapist in Sacramento, CA
About Derek Sivillo Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK SIVILLO DPT (NPI 1770299208) is an individual physical therapist in Sacramento, California, licensed in California (303333) and active in the NPI registry since January 2023.
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)
Derek Sivillo Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Sivillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
SACRAMENTO, CA 95823
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 Sivillo's NPI number?
The NPI number for Derek Sivillo is 1770299208. It was assigned to this individual provider in the NPPES registry on January 27, 2023.
Where is Derek Sivillo located?
Derek Sivillo practices at 6600 Bruceville Rd, Sacramento, CA 95823. The listed phone number is (916) 688-2096.
What is Derek Sivillo's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Derek Sivillo enrolled in Medicare?
Yes. Derek Sivillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Sivillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Sivillo reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Sivillo'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 Derek Sivillo was last updated on January 27, 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.