Courtney Marie Fjellman, L.M.P.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 60340886 Issued in WA

Practice address

5422 109TH Avenue CT E
Puyallup, WA 98372-2565

Phone

(253) 224-8076

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1043592710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5422 109TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722565",
            "telephone_number": "253-224-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 109TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983722565",
            "telephone_number": "253-224-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELLMAN",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 00014830",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 60340886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Fisher, LMP
• Charleen Fitzgerald
• Charlene Fitzgerald
• Emily Rachelle Fitzgerald
• Diana Rose Lomallo Fitzpatrick
• Karl Ole Fjellstad, PA
• Katie I Fjerstad, CO61274330
• Cynthia Caldwell Flacco, MA00024718
• Natasha Flagg
• Joshua James Edward Flake III, OTR/L

• Occupational Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.