KRISTIN MARIA DEDRICK (NPI# 1568024404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568024404 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIA DEDRICK |
| Other Name | KRISTIN MARIA PETERSEN |
| Credential | M.S. OTR/L |
| Practice Address |
4702 Cortez Rd W Bradenton FL 34210-2801 |
| Mailing Address |
345 Grand Vista Blvd Bradenton FL 34212-3610 |
| Practice Telephone | 8133412726 |
| Mailing Telephone | 6783585378 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT16227 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4702 CORTEZ RD W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34210-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501349 | Stephen Lee Miller | Physical Therapy Assistant | 4702 Cortez Rd W, Bradenton, FL 34210-2801 | 2020-09-02 |
| 1730725367 | Nelsie Floreal | Physical Therapy Assistant | 4702 Cortez Rd W, Bradenton, FL 34210-2801 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1053779611 | Therapeutic Lifestyle Solutions LLC | Occupational Therapist | 4702 Cortez Road, W Bradenton, FL 34210 | 2016-02-10 |
| 1831568344 | Alignment Healthcare Florida LLC | Clinic/Center | 3501 Cortez Rd. West, Jacksonville, FL 34210 | 2015-09-15 |
| 1659758910 | Vinai Artyamsoal | Obstetrics & Gynecology | 3633 Cortez Road West, Unit B-3, Bradenton, FL 34210 | 2015-05-06 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1386943728 | Valerie A Valle | Psychologist | 5650 Bollettieir Blvd, Bradenton, FL 34210 | 2011-03-24 |
| 1881899938 | Genevieve Duremdez Flexicare Physical Therapy | Physical Therapist | 3701 54th Dr. W. Bldg. M-101, Bradenton, FL 34210 | 2007-06-19 |
| 1194843623 | Steve C Hannan | Pharmacist | 4400 75th St. W., Bradenton, FL 34210 | 2007-03-26 |
| 1881761153 | Ruth Sidonie Cohn Eisner | Psychiatry & Neurology | 3639 Cortez Rd W Suite 108, Bradenton, FL 34210 | 2006-11-29 |
| Find all providers in zip 34210 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477163145 | Miranda Sue Tipton | Occupational Therapist | 6210 Glen Abbey Ln, Bradenton, FL 34202-9744 | 2020-08-06 |
| 1649834722 | Elizabeth Blair Smith | Occupational Therapist | 12539 Natureview Cir, Bradenton, FL 34212-2984 | 2019-04-24 |
| 1073073524 | Sharon Rodgers Yadven | Occupational Therapist | 2407 Landings Cir, Bradenton, FL 34209-9675 | 2019-03-21 |
| 1316419583 | James Christopher Ennis | Occupational Therapist | 12580 Natureview Cir, Bradenton, FL 34212-2982 | 2018-12-27 |
| 1629588470 | Britnie Melton | Occupational Therapist | 605 131st St E, Bradenton, FL 34212-9197 | 2017-10-06 |
| 1558892497 | Deborah Demello | Occupational Therapist | 360 46th Ct E, Bradenton, FL 34208-8462 | 2017-03-22 |
| 1558814723 | Brent Robert Cheyne | Occupational Therapist | 3911 Golf Park Loop Ste 105, Bradenton, FL 34203-3453 | 2016-07-25 |
| 1275993099 | Kristina Perez | Occupational Therapist | 872 62nd Street Cir E Ste 102, Bradenton, FL 34208-6238 | 2016-03-07 |
| 1952778847 | Shirley Laflamme | Occupational Therapist | 5507 29th St W, Bradenton, FL 34207-3537 | 2015-08-26 |
| 1578966958 | Ariel Brown | Occupational Therapist | 1055 301 Blvd E, Bradenton, FL 34203-3638 | 2014-09-30 |
| Find all providers in BRADENTON | ||||
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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.