Dr. Dalton Krencik, OTD, OTR/L
Occupational Therapist in Fort Pierce, FL. Individual provider (NPI-1).
NPI number1083369722
StatusActive
Last updated in NPPESFeb 21, 2022
Details
- NPI
- 1083369722
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dalton Krencik
- Credential
- OTD, OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2022
- Certification date
- Feb 21, 2022
- Last updated
- Feb 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT22788 | FL | Yes |
Practice location
4715 Kirby Loop RdFort Pierce, FL 34981-5345
Phone 772-577-6964 · Fax 772-461-9954
Mailing address
1702 Mariner Bay BlvdFort Pierce, FL 34949-3613
Phone 772-577-6964 · Fax 772-461-9954
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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