P Praxis·MD
● Active Type 1 · Individual

MR. Derek William Tucker

Physical Therapy Assistant·Jesup, GA· NPI 1790331304 · Enumerated 2019 · 6 years on NPI
Tucker is 1 of 7 physical therapy assistant providers in Jesup and 1 of 1124 in Georgia.
NPI age
6 years
Enumerated 2019-08-11
Primary specialty
Physical Therapy Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
6 years
↓ 3 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
110 Professional Ct
Jesup, GA 315450044
📞 9124270800
Mailing address
33 Laurenburg Dr
Richmond Hill, GA 313245197
📞 9125078021

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    taxonomy 225200000X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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