DEREK CURTIS (NPI# 1861834699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861834699 |
| Entity Type | Individual |
| Full Name | DEREK CURTIS |
| Credential | PTA |
| Practice Address |
1600 S Hickory St Mount Vernon MO 65712-2045 |
| Practice Telephone | 4174667103 |
| Practice Fax Number | 4174664040 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 2013025663 | MO | Residential Treatment Facilities |
| Street Address |
1600 S HICKORY ST |
| City | MOUNT VERNON |
| State | MO |
| Zip Code | 65712-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982813341 | Missouri Veterans Commission | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2007-05-22 |
| 1225649056 | Kelsey Jo Garbee | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2020-08-14 |
| 1922542638 | Nicole Bowers | Occupational Therapist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2016-12-14 |
| 1629420369 | Ethan Kristek | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2016-07-06 |
| 1639570740 | Billie Knipfer | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2014-09-08 |
| 1033472956 | Linda Collier | Speech-Language Pathologist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2012-06-18 |
| 1306115886 | Sunlakes Physical Therapy | Skilled Nursing Facility | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2011-12-29 |
| 1922377407 | Andrew Minardi | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712-2045 | 2011-12-29 |
| 1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
| 1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
| 1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
| 1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
| 1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
| 1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
| Find all providers in zip 65712 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144495896 | Job and Family Services | Residential Treatment Facility, Physical Disabilities | 106 S Rogers St, Mount Vernon, OH 43050-3643 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518367614 | Healn Heart Home Healthcare Inc | Residential Treatment Facility, Physical Disabilities | 2047 S Swope Dr, Apt C, Independence, MO 64057-1003 | 2014-08-26 |
| 1891103404 | Karing Homes LLC | Residential Treatment Facility, Physical Disabilities | 6139 Forest Ave, Kansas City, MO 64110-3427 | 2014-07-28 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1558659466 | Heritage Hills LLC | Residential Treatment Facility, Physical Disabilities | Po Box B, Patton, MO 63662-0010 | 2011-07-12 |
| 1922335926 | Blue Hayven In-home Health Care | Residential Treatment Facility, Physical Disabilities | 11553 Withersfield Dr, Saint Louis, MO 63138-1152 | 2009-11-11 |
| 1790940989 | Barefootboy LLC | Residential Treatment Facility, Physical Disabilities | 723 S Scenic Ave, 723 S.scenic, Springfield, MO 65802-5042 | 2008-07-28 |
| 1285787002 | Bliss Manor, Inc. | Residential Treatment Facility, Physical Disabilities | 2929 Lafayette St, Saint Joseph, MO 64507-1615 | 2007-01-18 |
| 1326119553 | Hickory Hills Residential Care | Residential Treatment Facility, Physical Disabilities | 935 Spartan Ln, Foristell, MO 63348-1022 | 2006-11-10 |
| 1568541886 | Shalimar Corp | Residential Treatment Facility, Physical Disabilities | 2732 Bloomfield Rd, Cape Girardeau, MO 63703-6302 | 2006-11-06 |
| 1437130747 | Flo-gp Leasing Co., LLC | Residential Treatment Facility, Physical Disabilities | 250 S New Florissant Rd, Florissant, MO 63031-6716 | 2005-11-14 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 65712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.