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Derek Garn Rodeback, D.O.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bountiful, UT · enumerated 2013 · practices at Road Back LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053751032

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Registry record

Entity type Individual (Type 1)
Name Derek Garn Rodeback
Credential D.O.
Sex Male
Practice address 1818 Mueller Park Rd, Bountiful, UT, 84010
Phone (453) 414-9858
Enumeration date Jul 5, 2013
Last updated in NPPES May 22, 2025

Taxonomy & licenses

2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License DR.0061855 (CO) Secondary
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 12005709-1204 (UT) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Derek Rodeback?
Derek Rodeback is registered in NPPES with the primary taxonomy of Sports Medicine (Physical Medicine & Rehabilitation) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-22.