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

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 and National Provider Directory roles.

• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988

  FL, 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 Physician Corp
• Crossroads Physician Corp
• 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

• All providers in Mount Vernon, IL
• 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.