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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Derrick Mikel Outlaw, DPT

Physical Medicine & Rehabilitation Physician in Niles, MI · enumerated 2019 · practices at Outlaw Physical Therapy, Pllc.

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

National Provider Identifier

1396219663

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Registry record

Entity type Individual (Type 1)
Name Dr. Derrick Mikel Outlaw
Credential DPT
Sex Male
Practice address Niles, MI, 49120
Enumeration date Jan 18, 2019
Last updated in NPPES Sep 8, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 5501018789 (MI) Primary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT 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

Where does Derrick Outlaw practice?
The practice location on file with NPPES is in Niles, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Derrick Outlaw?
The National Provider Identifier (NPI) for Derrick Outlaw is 1396219663, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-08.