Kristin Maria Dedrick, M.S. OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16227 Issued in FL

Practice address

4702 Cortez Rd W
Bradenton, FL 34210-2801

Phone

(813) 341-2726

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Maria Petersen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transitions Rehabilitation, LLC

  • Health Service Clinic/Center
  • Bradenton, FL
  • NPI 1033679311

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1568024404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 GRAND VISTA BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342123610",
            "telephone_number": "678-358-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102801",
            "telephone_number": "813-341-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDRICK",
        "first_name": "KRISTIN",
        "middle_name": "MARIA",
        "credential": "M.S. OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "PETERSEN",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra K Carter PH D & Associates PA
• Jessica Decanio
• Margaret Patricia Deckinga, MS, CCC-SLP
• Ryan Deckinga
• Dedicated Senior Medical Center of Florida, LLC
• David Deering
• Edward Defreitas, MD
• Thomas Stuart Degroat, MD
• Alexa Erin Dehaeseleer
• Jennifer Deicke Frantz, BA

• Occupational Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.