Courtney Lynn Ricard
Individual provider Active NPI Occupational Therapy Assistant · Phoenix, NY
NPI 1003195058 · NPPES record last updated Aug 9, 2011
Key facts
- NPI
- 1003195058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 007915 (NY)
- Practice address
- 9151 Frenchmans Creek Dr
Phoenix, NY 13135-1537 - Phone
- (315) 695-5111
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007915 | NY | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 007915 | NY | Yes |
Addresses
Primary practice location
9151 Frenchmans Creek Dr
Phoenix, NY 13135-1537
Mailing address
9151 Frenchmans Creek Dr
Phoenix, NY 13135-1537
Phone (315) 695-5111
Other providers in Phoenix, NY
- Emily Paige Phillips
- Phoenix Central School District
- Phoenix Central Schools
- Jennifer Maynard Pratt
- April Quill
- Lily Jeannine Roach
- SG Dental, PC
- Douglas Shearer
- Suzan Mary Elizabeth Sheldon
- Mary E Smith
All providers in Phoenix, NY · Occupational Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.