Individual provider Active NPI

Courtney Beth Cowling, OTR/L

  • Occupational Therapist
  • Jacksonville, AR
National Provider Identifier
1184706145
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25429 Issued in FL
Practice address
2615 W Main St
Jacksonville, AR 72076-4215
Phone
(501) 982-4578
Fax
(501) 982-1253
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 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 OT25429 FL Primary

Addresses

Primary practice location

2615 W Main St
Jacksonville, AR 72076-4215

Mailing address

2520 W Main St
Jacksonville, AR 72076-4214
Phone (501) 982-4578

Other names 1

  • Mrs. Courtney Beth Smith Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT25429FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabcare Group East, LLC Past Accepting new patients
Melanie Massey Infant & Toddler LLC Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1184706145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764214",
            "telephone_number": "501-982-4578",
            "fax_number": "501-982-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764215",
            "telephone_number": "501-982-4578",
            "fax_number": "501-982-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLING",
        "first_name": "COURTNEY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "SMITH",
            "middle_name": "BETH",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.