MEDICARE: CERENA DERRICK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1609727775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CERENA DERRICK

Provider Business Mailing Address
First Line	:	3140 BLUEBERRY HILL RD
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75401-7668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 W INTERSTATE 30
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7538
Country	:	US
Telephone Number	:	972-635-2401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1982032355 — WILLIAM A NICHOLAS
Practice Location Address:

576 W INTERSTATE 30
ROYSE CITY, TX
75189-7538

Practice Phone: 469-351-0100
Practice Fax: 469-533-9955

1013433804 — JANA ESTEP
Practice Location Address:

594 I 30 E
ROYSE CITY, TX
75189-7538

Practice Phone: 972-635-2401
Practice Fax:

1942246475 — NICOLE DECAMP M.D.
Practice Location Address:

6201 N SANTA FE AVE , SUITE 2015
OKLAHOMA CITY, OK
73118-7538

Practice Phone: 405-848-2800
Practice Fax:

1306876032 — THOMAS W TOALSON MD
Practice Location Address:

6201 N SANTA FE AVE , SUITE 2010
OKLAHOMA CITY, OK
73118-7538

Practice Phone: 405-272-5555
Practice Fax: 405-272-5517

1427089432 — ROBIN K GONZALEZ MD
Practice Location Address:

6201 N SANTA FE AVE , SUITE 2010
OKLAHOMA CITY, OK
73118-7538

Practice Phone: 405-272-5555
Practice Fax: 405-272-5517

1467568097 — TABITHA D DANLEY D.O.
Practice Location Address:

6201 N SANTA FE AVE , SUITE 2010
OKLAHOMA CITY, OK
73118-7538

Practice Phone: 405-272-5555
Practice Fax: 405-272-5517

Directions to “ CERENA DERRICK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.