Kristin Marie Derrickson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008736 Issued in GA

Practice address

888 Young Way
Richmond Hill, GA 31324-7238

Phone

(254) 654-0141

NPI assigned

Jul 9, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1255259958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 YOUNG WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 YOUNG WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313247238",
            "telephone_number": "254-654-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICKSON",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jocelyn Dennis
• Myaisha Devillars
• Taylor McKenzie Devillars
• Tyler Velana Devillars
• Haley Dickerson
• Brooke Crannell Dieterich, MOT, OTR/L

• Occupational Therapist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Occupational Therapist in Georgia

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.