Individual provider Active NPI

Courtney Amell, PT, DPT, ATC

  • Physical Therapist
  • Windham, NH
National Provider Identifier
1033731575
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5284 Issued in NH
Practice address
125 Indian Rock Rd Unit 5
Windham, NH 03087-2008
Phone
(603) 432-9662
NPI assigned
May 6, 2020
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134693 VT
Physical Therapist 225100000X 5284 NH Primary
Athletic Trainer 2255A2300X 104.0133973 VT

Addresses

Primary practice location

125 Indian Rock Rd Unit 5
Windham, NH 03087-2008

Mailing address

139 Freeman Rd
Northfield, VT 05663-6203
Phone (802) 917-1766

Other practice location 1

139 Freeman Rd
Northfield, VT 05663-6203
Phone (802) 917-1766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5284NHMDPhysical Therapist
040.0134693VTMDPhysical Therapist
104.0133973VTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Rehab Associates, Inc PastSince Mar 17, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1033731575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 FREEMAN RD",
            "city": "NORTHFIELD",
            "state": "VT",
            "postal_code": "056636203",
            "telephone_number": "802-917-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 INDIAN ROCK RD UNIT 5",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872008",
            "telephone_number": "603-432-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Freeman Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "VT",
            "postal_code": "056636203",
            "country_code": "US",
            "telephone_number": "802-917-1766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMELL",
        "first_name": "COURTNEY",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134693",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5284",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VT",
            "license": "104.0133973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.