MR. KELLY LON DREVECKY (NPI# 1457303695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457303695 |
Entity Type | Individual |
Full Name | MR. KELLY LON DREVECKY |
Credential | OT R/L |
Practice Address |
700 Harmony St Nw Minot ND 58703-2892 |
Practice Telephone | 7017205355 |
Practice Fax Number | 7018391311 |
Mailing Telephone | 7017205355 |
Mailing Fax Number | 7018391311 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2008-08-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 612 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225XN1300X |
Occupational Therapist Specialization: Neurorehabilitation |
612 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
612 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 50609 | 05 |
Street Address |
700 HARMONY ST NW |
City | MINOT |
State | ND |
Zip Code | 58703-2892 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629224860 | Kelly Drevecky | Occupational Therapist | 700 Harmony St Nw, Minot, ND 58703-2892 | 2008-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
Find all providers in zip 58703 |
Taxonomy Code | 225XP0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Pediatrics |
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912049065 | Joleen Marie Thomas | Occupational Therapist | 215 2nd St Se, Minot, ND 58701-3924 | 2007-02-13 |
1669514295 | Lesley Anne Fettig | Occupational Therapist | 215 2nd St Se, Minot, ND 58701-3924 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477972784 | Tessa Nicole Larson | Occupational Therapist | 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 | 2014-04-15 |
1639510316 | Amanda Holland | Occupational Therapist | 1413 Sharloh Loop, Bismarck, ND 58501-7772 | 2013-07-10 |
1427242478 | Kevin Kalin Anderson | Occupational Therapist | 7409 Oak Ct, Horace, ND 58047-9531 | 2007-09-04 |
1386853802 | Anna Lee Meissner | Occupational Therapist | 6681 56th Ave S, Fargo, ND 58104-5655 | 2007-05-21 |
1093831026 | Mary Susan Baumgartner | Occupational Therapist | 4372 52nd St S, Fargo, ND 58104-4237 | 2007-03-21 |
1861540973 | Stephen Preston Olson | Occupational Therapist | 3060 Frontier Way S, Fargo, ND 58104-8909 | 2007-01-08 |
1467539353 | Kristi Eslinger | Occupational Therapist | 2933 37th Ave S, Fargo, ND 58104-7046 | 2006-11-01 |
1427677442 | Exploring Minds Development Center | Occupational Therapist | 120 E Calgary Ave, Bismarck, ND 58503-0302 | 2020-04-09 |
1588296487 | Danielle Motl | Occupational Therapist | 120 E Calgary Ave, Bismarck, ND 58503-0302 | 2020-02-07 |
1376188623 | Kennedy Bresnahan | Occupational Therapist | 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 | 2019-11-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.