KRISTIN MARIE DERRICKSON
NPI 1255259958
Occupational Therapist in Richmond Hill, GA

Active since July 09, 2026Accepts Medicare Assignment
888 YOUNG WAY, RICHMOND HILL, GA 31324(254) 654-0141 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristin Marie Derrickson NPPES

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

KRISTIN MARIE DERRICKSON (NPI 1255259958) is an individual occupational therapist in Richmond Hill, Georgia, licensed in Georgia (OT008736) and active in the NPI registry since July 2026. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1255259958
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKRISTIN MARIE DERRICKSON
Location Address888 YOUNG WAYRichmond Hill, GA 31324-7238
Mailing Address888 Young WayRichmond Hill, GA 31324-7238
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1255259958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in GA · OT008736
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
888 YOUNG WAY, Richmond Hill, GA 31324

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Marie Derrickson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759847205
PECOS Enrollment IDI20260727000248

Medicare Billing Reassignment

Medicare enrollment records show Kristin Derrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
5610 HAMPTON PARK DR
Cumming, GA 30041
  • Reassigned Medicare billing, Georgia enrollment
  • 84 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kristin Derrickson's NPI number?

The NPI number for Kristin Derrickson is 1255259958. It was assigned to this individual provider in the NPPES registry on July 9, 2026.

Where is Kristin Derrickson located?

Kristin Derrickson practices at 888 Young Way, Richmond Hill, GA 31324. The listed phone number is (254) 654-0141.

What is Kristin Derrickson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kristin Derrickson enrolled in Medicare?

Yes. Kristin Derrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristin Derrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Derrickson reassigns Medicare benefits to Empowerme Rehabilitation Georgia, LLC (Cumming, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Derrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristin Derrickson was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.