MR. KELLY LON DREVECKY


Address: 700 Harmony St Nw, Minot, ND 58703-2892
Phone: 7017205355

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ND 50609 05

Office Location

Street Address 700 HARMONY ST NW
City MINOT
State ND
Zip Code 58703-2892

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629224860 Kelly Drevecky Occupational Therapist 700 Harmony St Nw, Minot, ND 58703-2892 2008-08-07

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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
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

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:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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City MINOT
Zip Code 58703

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Dataset Information

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.

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