Active NPI
Courtney Blackston
- Occupational Therapist
- Sandusky, OH
National Provider Identifier
1043663420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.009238
- Practice address
- 2500 W Strub Rd
Suite 150
Sandusky, OH 44870-5390 - Phone
- (419) 626-4162
- Fax
- (419) 626-1268
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.009238 | OH | Primary |
Addresses
Primary practice location
2500 W Strub Rd
Suite 150
Sandusky, OH 44870-5390
Mailing address
PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112
Other names 1
- Courtney Coe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160829003346 | OH | Practitioner - Occupational Therapist in Private Practice | 3577858596 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Medical Specialists,LLC
Practice addresses (Care Compare)
2500 W Strub Rd
Suite 150
Sandusky, OH 44870-5488
Phone (419) 626-4162
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT.009238 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Sheffield Village, OH
- NPI 1508811332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1043663420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 378",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448710378",
"telephone_number": "419-609-1112",
"fax_number": "419-502-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W STRUB RD",
"address_2": "SUITE 150",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448705390",
"telephone_number": "419-626-4162",
"fax_number": "419-626-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSTON",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.009238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "COE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.