Active NPI
Courtney Poirier
- Occupational Therapist
- Appleton, WI
National Provider Identifier
1245900042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7123-26
- Practice address
- 1335 S Oneida St
Appleton, WI 54915-1351 - Phone
- (920) 731-6646
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7123-26 | WI | Primary |
Addresses
Primary practice location
1335 S Oneida St
Appleton, WI 54915-1351
Mailing address
1435 N McCarthy Rd Apt 11
Appleton, WI 54913-8287
Phone (715) 459-3750
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7123-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1245900042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 N MCCARTHY RD APT 11",
"city": "APPLETON",
"state": "WI",
"postal_code": "549138287",
"telephone_number": "715-459-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151351",
"telephone_number": "920-731-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRIER",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "7123-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.