Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Derocher, OTR/L

Individual provider Occupational Therapist · NPI 1689325052

Jacob Derocher, OTR/L is an Occupational Therapist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5367 NW Rugby Dr
Port Saint Lucie, FL 34983-3386
Phone: (772) 370-9628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 22580 (FL)

Record details

NPI number1689325052
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 17, 2022
Last updated in NPPESJanuary 17, 2022
Certification dateJanuary 17, 2022

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