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KELLY DREVECKY NPI 1629224860


NPI Information

NPI: 1629224860
Provider Name: KELLY DREVECKY

Doing Business As: PRAIRIE THERAPY

Classification: Occupational Therapist - 225XP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
700 HARMONY ST NW
MINOT, ND
ZIP 58703
Phone: (701) 720-5355
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KELLY DREVECKY is a pediatrics occupational therapist in Minot, ND. The provider is occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. KELLY DREVECKY NPI is 1629224860. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prairie Therapy.

The provider's business location address is:

700 HARMONY ST NW
MINOT, ND
ZIP 58703-892
Phone: (701) 720-5355
Fax: (701) 839-1311

The provider's authorized official is Kelly Lon Drevecky .
The authorized official title is Owner/practicioner and has the following contact phone number 17017205355.

The enumeration date for this NPI number is 8/7/2008 and was last updated on 8/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225X00000XOccupational Therapist612NORTH DAKOTANo
2225XP0200XOccupational TherapistPediatrics612NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457303695OTHERNPI FOR KELLY DREVECKY
2711934MEDICARE UPIN
351500MEDICAIDNORTH DAKOTA
451145MEDICAIDNORTH DAKOTA
550609MEDICAIDNORTH DAKOTA
61023153921OTHERALLI HAGER'S NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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