Dr Derek Lawayne Holley, DPT - Medicare Physical Therapist in Montgomery, AL

Dr Derek Lawayne Holley, DPT is a medicare enrolled "Physical Therapist" provider in Montgomery, Alabama. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Agilitas Usa Inc, Agilitas Usa Inc and his current practice location is 6971 Eastchase Loop, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 721-6500.

Dr Derek Lawayne Holley is licensed to practice in Alabama (license number PTH9512) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619536083.

Contact Information

Dr Derek Lawayne Holley, DPT
6971 Eastchase Loop,
Montgomery, AL 36117-6876
(334) 721-6500
(334) 721-6501

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek Lawayne Holley
GenderMale
SpecialityPhysical Therapy
Experience5 Years
Location6971 Eastchase Loop, Montgomery, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek Lawayne Holley graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1619536083
  • Provider Enumeration Date: 06/10/2019
  • Last Update Date: 06/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204258304
  • Enrollment ID: I20200618000985

Medical Identifiers

Medical identifiers for Dr Derek Lawayne Holley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619536083NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PTH9512 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agilitas Usa Inc3375454648634
Agilitas Usa Inc3375454648634

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Derek Lawayne Holley allows following entities to bill medicare on his behalf.
Provider NameAgilitas Usa Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20120523000672

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Derek Lawayne Holley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Derek Lawayne Holley, DPT
800 Crescent Centre Dr Ste 300,
Franklin, TN 37067-7285

Ph: (615) 373-1350
Dr Derek Lawayne Holley, DPT
6971 Eastchase Loop,
Montgomery, AL 36117-6876

Ph: (334) 721-6500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.