Gabrielle Cultice

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

18276 Dirt Riders Rd
Mount Vernon, IL 62864-8193

Phone

(636) 675-5477

NPI assigned

Nov 19, 2019

Last updated

Mar 27, 2025By the provider in NPPES

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  Occupational Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1639715162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 CALUSA PALMS DR APT 104",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339197806",
            "telephone_number": "636-675-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18276 DIRT RIDERS RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628648193",
            "telephone_number": "636-675-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULTICE",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Physician Corp (Crossroads Family Associates #1)
• Crossroads Physician Corp (Crossroads Internal Medicine #1)
• Crossroads Physician Corp (Crossroads Internal Medicine #2)
• Crossroads Physicians Corp
• Ryan Crouse
• Twana Sue Curry, L.C.S.W.
• Danna Kathleen Dailey
• Merenda L Dale, LCSW
• Shirley Dallmier, P.A.
• Olivia Nanette Dalmasso, LPN

• Occupational Therapist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.

Verify at the official NPI Registry.