Individual provider Active NPI

Courtney L Neal, O.T.

  • Occupational Therapist
  • Carmi, IL
National Provider Identifier
1184731085
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
108 April Ave
Carmi, IL 62821-1577
Phone
(618) 382-3755
Fax
(618) 382-2377
NPI assigned
Aug 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 IL Primary

Addresses

Primary practice location

108 April Ave
Carmi, IL 62821-1577

Mailing address

239 County Road 375 E
Norris City, IL 62869-3922
Phone (618) 382-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070108000194 IL Practitioner - Occupational Therapist in Private Practice 3577563089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

1112 Oak St
Carmi, IL 62821-1344
Phone (618) 382-2927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 2, 2024 Accepting new patients
R & T Physical Therapy LLC CurrentSince Sep 30, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Jan 2, 2024 Accepting new patients
Oxford Progressive Therapy Services Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1112 Oak St
Carmi, IL 62821
Phone (217) 732-9651

1920 Maple Ave
Lisle, IL 60532
Phone (630) 725-7000

104 Cardinal Dr
Norris City, IL 62869
Phone (618) 378-3536

Organizations & group practices 5

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184731085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 COUNTY ROAD 375 E",
            "city": "NORRIS CITY",
            "state": "IL",
            "postal_code": "628693922",
            "telephone_number": "618-382-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 APRIL AVE",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211577",
            "telephone_number": "618-382-3755",
            "fax_number": "618-382-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "COURTNEY",
        "middle_name": "L",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.