GABRIELLE CULTICE
NPI 1639715162
Occupational Therapist in Mount Vernon, IL

Active since November 19, 2019Accepts Medicare Assignment
18276 DIRT RIDERS RD, MOUNT VERNON, IL 62864(636) 675-5477 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2025, Nov 19, 2019 (2 updates tracked since 2019).

About Gabrielle Cultice NPPES

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

GABRIELLE CULTICE (NPI 1639715162) is an individual occupational therapist in Mount Vernon, Illinois and active in the NPI registry since November 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1639715162
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameGABRIELLE CULTICE
Location Address18276 DIRT RIDERS RDMount Vernon, IL 62864-8193
Mailing Address14816 Calusa Palms Dr Apt 104Fort Myers, FL 33919-7806 · (636) 675-5477
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 19, 2019
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1639715162 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
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.
18276 DIRT RIDERS RD, Mount Vernon, IL 62864

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

Gabrielle Cultice 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 ID1951727148
PECOS Enrollment IDI20210317001393

Medicare Billing Reassignment

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

Physical Therapist
17470 BROOKSIDE TRACE CT
Tampa, FL 33647
  • Reassigned Medicare billing, Florida enrollment
  • 264 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 Gabrielle Cultice's NPI number?

The NPI number for Gabrielle Cultice is 1639715162. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Gabrielle Cultice located?

Gabrielle Cultice practices at 18276 Dirt Riders Rd, Mount Vernon, IL 62864. The listed phone number is (636) 675-5477.

What is Gabrielle Cultice's specialty?

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

Is Gabrielle Cultice enrolled in Medicare?

Yes. Gabrielle Cultice 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 Gabrielle Cultice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Cultice reassigns Medicare benefits to Legacy Healthcare Services, Inc (Tampa, FL). 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 Gabrielle Cultice'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 Gabrielle Cultice was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.