Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104154269 Individual Practitioner Male Practitioner

Derek R Flake , PT

Physical Therapist • Lakeside, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Derek Flake, PT is a certified Physical Therapist practicing in Lakeside, AZ. With approximately 17 years of clinical experience since completing medical education in 2009, Derek Flake delivers high-quality medical care to the local community at 4830 HIGHWAY 260 STE 105.

Derek Flake is affiliated with White Mountain Physical Therapy Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using functional activities, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4830 Highway 260 Ste 105

Lakeside, AZ 859295851

Telephone 9285321221
Fax 9285321227
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Lakeside, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -0.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Lakeside, AZ (5415 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flake (17 Years) 17 Yrs
Lakeside Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,810 214 $57.89 $21.10
97530 Therapy procedure using functional activities
955 200 $60.00 $31.45
97140 Therapy procedure using manual technique, each 15 minutes
909 172 $45.00 $19.61
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
413 99 $52.00 $24.74
97162 Evaluation for physical therapy, typically 30 minutes
202 178 $102.00 $95.96
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
60 18 $30.00 $8.40
97116 Walking training to 1 or more areas, each 15 minutes
50 46 $50.00 $21.52

Medical Specialties & State Licenses

CMS Verified: 2020-03-16
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License AZ 8520PT

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Arizona Pt License
8520PT (AZ)

Hospital & Practice Group Affiliations

White Mountain Physical Therapy Ltd

4830 Hwy 260 105, Lakeside, AZ 859295851

Phone: 9285321221

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1215425202

Physical Therapist

Rachel Ellsworth , PT

Physical Therapist

NPI 1316490949

Physical Therapist

Dr. Kyle Howell , DPT

Physical Therapist

NPI 1497494918

Doctor of Physical Therapy

Dr. Michele Russell , DPT

Physical Therapist

NPI 1699343558

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 16, 2020

Registered at 4830 HIGHWAY 260 STE 105, LAKESIDE, AZ 859295851 (Tel: 9285321221)

📍
Updated Business Mailing Address March 16, 2020

Registered at PO BOX 1420, SHOW LOW, AZ 859021420 (Tel: 9285321221)

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2014

Registered at 2940 E BANNER GATEWAY DR, STE 200, GILBERT, AZ 852342171 (Tel: 4809642908)

📍
Updated Business Mailing Address May 16, 2014

Registered at PO BOX 29870, PHOENIX, AZ 850389870 (Tel: 6027723800)

👤
Provider Name / Credentials Updated May 16, 2014

Recorded as DEREK FLAKE, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Physical Therapist (License #8520PT in AZ)

🟢
Initial NPI Registration & Enumeration December 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104154269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2009
Last Update: March 16, 2020
Sole Proprietor: No

Mailing Address

Po Box 1420

Show Low, AZ 859021420

Phone: 9285321221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.