Derek Moczygemba, PT, DPT

Physical Therapist · Tyler, TX

Individual Active NPI

NPI number 1568193258

Practice location

12011 Acadia Dr
Tyler, TX 75703-7772
Phone
(210) 414-4900

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NPI record

NPI
1568193258
Entity type
Individual (Type 1)
Enumeration date
June 22, 2022
Last updated
June 22, 2022
Certified
June 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X 1362277 TX

About Derek Moczygemba

Derek Moczygemba, PT, DPT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 12011 Acadia Dr, Tyler, TX 75703-7772. The NPI number 1568193258 was assigned on June 22, 2022 and the record was last updated on June 22, 2022.

Derek Moczygemba lists a license in the registry: #1362277 (TX) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Moczygemba, PT, DPT?

The NPI number is 1568193258.

What is the phone number of Derek Moczygemba?

The phone number listed for the practice location is (210) 414-4900.

Where is Derek Moczygemba located?

12011 Acadia Dr, Tyler, TX 75703-7772.

What is the taxonomy code for Derek Moczygemba?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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