Active NPI
Kyle Courtney, OTR/L
- Occupational Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31008338A
- Practice address
- 101 NW 1St St Ste 114
Evansville, IN 47708-1259 - Phone
- (812) 402-0444
- NPI assigned
- Oct 16, 2017
- Last updated
- Jan 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006848 | GA | |
| Occupational Therapist | 225X00000X | 31008338A | IN | Primary |
Addresses
Primary practice location
101 NW 1St St Ste 114
Evansville, IN 47708-1259
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other practice location 1
3044 Due West Rd
Dallas, GA 30157-2125
Phone (770) 443-9672
Other practice location 2
201 SE 4th St Ste 150
Evansville, IN 47713-1201
Phone (812) 461-6716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006848 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Forefront Community Therapy Inc | Occupational Therapist | Current | Accepting new patients |
| Associates in Pediatric Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 461-6716
101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444
Organizations & group practices 3
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.
-
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- NPI 1821688607
Occupational Therapist
-
- Speech-Language Pathologist
- Clarksville, IN
- NPI 1881956803
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1255842407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 1ST ST STE 114",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-402-0444"
}
],
"practiceLocations": [
{
"address_1": "3044 Due West Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301572125",
"country_code": "US",
"telephone_number": "770-443-9672",
"fax_number": "770-443-9672",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 SE 4th St Ste 150",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477131201",
"country_code": "US",
"telephone_number": "812-461-6716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COURTNEY",
"first_name": "KYLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-16",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006848",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31008338A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.