Active NPI
Dereck Andrew Temple
- Occupational Therapist
- Port St Lucie, FL
National Provider Identifier
1063913077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26485
- Practice address
- 1751 SE Hillmoor Dr
Port St Lucie, FL 34952-7535 - Phone
- (772) 335-8844
- NPI assigned
- Feb 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 26485 | FL | Primary |
Addresses
Primary practice location
1751 SE Hillmoor Dr
Port St Lucie, FL 34952-7535
Mailing address
301 SW Palm Dr Apt 106
Port St Lucie, FL 34986-1953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1063913077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SW PALM DR APT 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 SE HILLMOOR DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527535",
"telephone_number": "772-335-8844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMPLE",
"first_name": "DERECK",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-25",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "26485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.