Derrick Outlaw, DPT
NPI 1396219663 · Physical Medicine & Rehabilitation Physician · Niles, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Outlaw, DPT is a Physical Medicine & Rehabilitation Physician provider in Niles, MI (NPI 1396219663).
Provider details
- NPI number
- 1396219663
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5501018789 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-01-18
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Frequently asked questions
- What is Derrick Outlaw's NPI number?
- Derrick Outlaw's National Provider Identifier (NPI) is 1396219663, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Outlaw's specialty?
- Derrick Outlaw is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Derrick Outlaw located?
- Derrick Outlaw's practice location on file with NPPES is 2882 Detroit Rd, Niles, MI 49120-9412.
- What is Derrick Outlaw's phone number?
- The practice phone number listed in the NPPES registry for Derrick Outlaw is (574) 333-8775.
- Does Derrick Outlaw accept Medicare?
- Derrick Outlaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Outlaw's NPI active?
- Yes — Derrick Outlaw's NPI (1396219663) is active in the NPPES registry as of the last update on 2021-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.