Individual provider Active NPI

Courtney Burtnett McQuistan, OTR/L, OTD

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1093320269
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6671 Issued in TN
Practice address
2415 McCallie Ave
Chattanooga, TN 37404-3322
Phone
(423) 624-2696
NPI assigned
Sep 14, 2020
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6671 TN Primary

Addresses

Primary practice location

2415 McCallie Ave
Chattanooga, TN 37404-3322

Mailing address

2415 McCallie Ave
Chattanooga, TN 37404-3322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200928000489 TN Practitioner - Occupational Therapist in Private Practice 4284053125 Reassigns benefits to 3 organizations
I20210226000001 GA Practitioner - Occupational Therapist in Private Practice 4284053125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, LLC Occupational Therapist CurrentSince Sep 14, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Oct 19, 2020 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jan 9, 2024 Accepting new patients
Agilitas USA, Inc CurrentSince Jan 9, 2024 Accepting new patients
Bradley Physician Services, LLC CurrentSince Jan 24, 2026 Accepting new patients
Independent Physical Therapy of Ga, LLC Occupational Therapist CurrentSince Oct 19, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist Current Accepting new patients
Agilitas USA Inc Occupational Therapist Current Accepting new patients
Chattanooga Orthopaedic Group, PC Occupational Therapist Past Accepting new patients
Chattanooga Orthopaedic Group, PC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-0252

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

3575 Keith St NW
Ste 205
Cleveland, TN 37312
Phone (423) 559-0444

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 10

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1093320269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUISTAN",
        "first_name": "COURTNEY",
        "middle_name": "BURTNETT",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.

Verify at the official NPI Registry.