IndividualActive
Kristen Derouen, MOT
NPI 1609138262 · Occupational Therapist · St. Augustine
Provider details
- NPI number
- 1609138262
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Female
- Sole proprietor
- No
- License
- 15224 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
161 Marine Street
Suite a
St. Augustine, 32084
Phone: (225) 278-3628
Approximate (ZIP-level) locationGet directions
Mailing address
274 Golden Lake Loop
St Augustine, FL 32084-5855
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.