Cortney Baczkowicz
Individual provider Active NPI Occupational Therapist · Saint John, IN
NPI 1235808155 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1235808155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31005871A (IN)
- Practice address
- 10820 Park PL
Saint John, IN 46373-8630 - Phone
- (219) 351-5200
- NPI assigned
- Sep 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31005871A | IN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31005871A | IN | Yes |
Addresses
Primary practice location
10820 Park PL
Saint John, IN 46373-8630
Mailing address
10820 Park PL
Saint John, IN 46373-8630
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | casamba | Health Information Exchange (HIE) |
Other providers in Saint John, IN
- Valerie Renee Anderson
- Thomas Michael Anger
- Samuel John Arzumanian
- Sarah Ashcraft
- Athletico LTD
- Daniel Michael Bade
- Stephanie Ann Baer
- Jessica Lynn Bakker
- Nikole Milka Barach
- Snezana Barancyk
All providers in Saint John, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.