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JEFFREY DERTHICK
NPI 1073312591
Day Training, Developmentally Disabled Services in Mantua, OH

Active since March 08, 2025
6470 STREETER RD, MANTUA, OH 44255(330) 221-1046 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Derthick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY DERTHICK (NPI 1073312591) is an individual day training, developmentally disabled services provider in Mantua, Ohio and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1073312591
Entity TypeIndividualMale
Primary Taxonomy251C00000X
Provider Legal NameJEFFREY DERTHICK
Location Address6470 STREETER RDMantua, OH 44255-9729
Mailing Address6470 Streeter RdMantua, OH 44255-9729 · (330) 221-1046
Phone(330) 221-1046
Sole ProprietorYes
Enumeration DateMarch 8, 2025
NPPES CertifiedMarch 8, 2025
✔ NPI 1073312591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
6470 STREETER RD, Mantua, OH 44255
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Derthick's NPI number?

The NPI number for Jeffrey Derthick is 1073312591. It was assigned to this individual provider in the NPPES registry on March 8, 2025.

Where is Jeffrey Derthick located?

Jeffrey Derthick practices at 6470 Streeter Rd, Mantua, OH 44255. The listed phone number is (330) 221-1046.

What is Jeffrey Derthick's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Derthick was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.