Derek Widener, PTA
NPI 1154691624 · Physical Therapy Assistant · Santa Rosa, CA
Derek Widener, PTA is a Physical Therapy Assistant provider in Santa Rosa, CA (NPI 1154691624).
Provider details
- NPI number
- 1154691624
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 6568 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-30
- Last updated
- 2011-12-30
Frequently asked questions
- What is Derek Widener's NPI number?
- Derek Widener's National Provider Identifier (NPI) is 1154691624, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Widener's specialty?
- Derek Widener is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Widener located?
- Derek Widener's practice location on file with NPPES is 1221 N Dutton Ave, Santa Rosa, CA 95401-4607.
- What is Derek Widener's phone number?
- The practice phone number listed in the NPPES registry for Derek Widener is (707) 543-8360.
- Is Derek Widener's NPI active?
- Yes — Derek Widener's NPI (1154691624) is active in the NPPES registry as of the last update on 2011-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.