Individual ProviderDerreck CaldezPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564(480) 706-1199(480) 937-1000PECOS EnrollmentBased on the most recent information from CMS, provider Derreck Caldez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1326777624Provider TypeIndividualFull NameCaldez, DerreckCredentialDPTGenderMaleSole ProprietorNoEnumeration Date6/10/2022Last Updated6/10/2022Contact InformationPractice LocationPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564Phone(480) 706-1199Fax(480) 706-3999Mailing LocationMailing Address14287 N 87th St Ste 220, Scottsdale, AZ 85260-3698Phone(480) 937-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense32371Arizona