DEREK J MC CONNELL P.T.
NPI 1861837742
Specialist in Spring Lake, NJ

Q: What is Derek Mc Connell's NPI number?

The NPI number for Derek Mc Connell is 1861837742. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Q: What is Derek Mc Connell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Mc Connell was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 06, 2013Accepts Medicare Assignment

88.13/100

CMS Quality Rating

1325 WARREN AVE, SPRING LAKE, NJ 07762(732) 449-7855(732) 449-7856 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Derek J Mc Connell P.t. NPPES

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

DEREK J MC CONNELL P.T. (NPI 1861837742) is an individual specialist in Spring Lake, New Jersey, licensed in New Jersey (40QA01449100) and active in the NPI registry since May 2013. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1861837742

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDEREK J MC CONNELLCredential: P.T.

Location Address1325 WARREN AVESpring Lake, NJ 07762-2566

Mailing Address576 Broadhollow RdMelville, NY 11747-5002 · (631) 359-5859

Phone(732) 449-7855

Fax(732) 449-7856

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 6, 2013

Last NPPES UpdateDecember 18, 2020

NPPES CertifiedDecember 18, 2020

✔ NPI 1861837742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 40QA01449100

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1325 WARREN AVE, Spring Lake, NJ 07762

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek J Mc Connell P.t. 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 ID9830322023

PECOS Enrollment IDI20140423001140

Medicare Billing Reassignment

Medicare enrollment records show Derek Mc Connell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Occupational & Physical Therapy, PLLC

Same address

Occupational Therapist

1325 WARREN AVE
Spring Lake, NJ 07762

Reassigned Medicare billing, New Jersey enrollment
306 clinicians in this Medicare group

NPI 1821548306 (732) 449-7855

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 3

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.

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

197 services11 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

93 services12 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

78 services11 patients

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.

88.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.03

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MICHAEL EDWARD ROTHMAN M.D.

Family Medicine

1325 WARREN AVE, STE 6
SPRING LAKE, NJ 07762

Monmouth County (732) 268-7663

MR. BRIAN SCOTT SIMON PT

Physical Therapist

1325 WARREN AVE, SUITE 5
SPRING LAKE, NJ 07762

Monmouth County (732) 449-7855

MR. DUSTIN C FULLAWAY PT

Physical Therapist

1325 WARREN AVE, SUITE 5
SPRING LAKE, NJ 07762

Monmouth County (732) 449-7855

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY OF NJ, LLC

Physical Therapist

1325 WARREN AVE
SPRING LAKE, NJ 07762

Monmouth County (732) 449-7855

PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC

Occupational Therapist

1325 WARREN AVE
SPRING LAKE, NJ 07762

Monmouth County (732) 449-7855

DR. BRIAN BRATERIS DPT

Physical Therapist

1325 WARREN AVE
SPRING LAKE, NJ 07762

Monmouth County (732) 449-5394

MRS. EILEEN GURGONE DPT

Physical Therapist

1325 WARREN AVE, SUITE 5
SPRING LAKE, NJ 07762

Monmouth County (973) 467-7976

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 Mc Connell's NPI number?

The NPI number for Derek Mc Connell is 1861837742. It was assigned to this individual provider in the NPPES registry on May 6, 2013.

Where is Derek Mc Connell located?

Derek Mc Connell practices at 1325 Warren Ave, Spring Lake, NJ 07762. The listed phone number is (732) 449-7855.

What is Derek Mc Connell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Derek Mc Connell enrolled in Medicare?

Yes. Derek Mc Connell 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.

Which organization bills Medicare for Derek Mc Connell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Mc Connell reassigns Medicare benefits to Professional Occupational & Physical Therapy, PLLC (Spring Lake, NJ). 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 Mc Connell'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 Mc Connell was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.