Courtney Michelle Coubertier, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1707 3Rd St SE
Puyallup, WA 98372-4506

Phone

(253) 841-3041

Fax

(253) 841-3061

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Michelle Duda Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sundance Circle Hippotherapy LLCGroup PAC ID 4587035126, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sundance Circle Hippotherapy LLC

  • Physical Therapist
  • Sumner, WA
  • NPI 1588257687
  Medicare reassignment Care Compare group NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Burien, WA
  • NPI 1780037689
  NPD
• Little Squirts Therapy Services LLC

  • Pediatric Physical Therapist
  • Providence, UT
  • NPI 1518654730
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1235784075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 118TH AVE SE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724506",
            "telephone_number": "253-841-3041",
            "fax_number": "253-841-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUBERTIER",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DUDA",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Costco Wholesale Corporation
• Ali Nicole Coster, RD
• Jordan Cota
• Janelle Mae Cotogna, LMHCA
• Jennifer Coty, COTA
• Johnna Catherine Coughlin
• Angella Christine Courtney, MS
• Martha Joy Coward, ARNP
• Pamela D Cowell, MD
• Charles David Cox

• Physical Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.