Active NPI
Derrian Lee Gulden
- Occupational Therapist
- West Chester, PA
National Provider Identifier
1063003341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC016726
- Practice address
- 704 W Nields St
West Chester, PA 19382-4102 - Phone
- (610) 715-2702
- NPI assigned
- Jan 29, 2021
- Last updated
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC016726 | PA | Primary |
Addresses
Primary practice location
704 W Nields St
West Chester, PA 19382-4102
Mailing address
404 W State St Apt B
Media, PA 19063-2618
Phone (484) 818-1459
Other practice location 1
694 Wharton Blvd
Exton, PA 19341-1189
Phone (610) 715-2702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegretto Therapy Services, LLC | Current | Accepting new patients | |
| Denise Marino | Past | Accepting new patients |
Locations
694 Wharton Blvd
Exton, PA 19341
Phone (610) 715-2702
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Exton, PA
- NPI 1295008175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1063003341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W STATE ST APT B",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632618",
"telephone_number": "484-818-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 W NIELDS ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193824102",
"telephone_number": "610-715-2702"
}
],
"practiceLocations": [
{
"address_1": "694 Wharton Blvd",
"address_purpose": "LOCATION",
"city": "Exton",
"state": "PA",
"postal_code": "193411189",
"country_code": "US",
"telephone_number": "610-715-2702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULDEN",
"first_name": "DERRIAN",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC016726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.