Derek Christopher Edwards, OTD/ OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT10842 Issued in OH

Practice address

1151 College Ave
Columbus, OH 43209-2827

Phone

(614) 231-4900

NPI assigned

Apr 26, 2021

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1932781283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "OH",
            "postal_code": "431489534",
            "telephone_number": "740-215-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 COLLEGE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092827",
            "telephone_number": "614-231-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DEREK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "OTD/ OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT10842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel M Edwards
• Christine Edwards, M.D.
• Cory Edwards, DO
• Danielle Elissa Edwards
• Del J Edwards, O.D.
• Eddie Gene Edwards Jr.
• Evan Ryan Edwards
• Faith Edwards
• Gabriele Edwards
• Grace Diana Edwards

• Occupational Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.