Courtney Wootton

Individual provider Active NPI Recreation Therapist · Crescent Springs, KY

NPI 1245083229 · NPPES record last updated Apr 9, 2024

Key facts

NPI
1245083229
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
Practice address
541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696
Phone
(859) 869-2023
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health, LLC Current
since Apr 14, 2024
Accepting new patients

Locations

541 Buttermilk Pike
Ste 200
Crescent Springs, KY 41017
Phone (859) 486-0512

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Yes

Addresses

Primary practice location

541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696

Mailing address

3221 Glengyle Ave
Cincinnati, OH 45208-3107
Phone (770) 990-2555

Other providers in Crescent Springs, KY

All providers in Crescent Springs, KY · Recreation Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.