Individual provider Active NPI

Courtney Garlock Tso, PT, DPT, CERT. MDT

  • Physical Therapist
  • Draper, UT
National Provider Identifier
1255871422
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
037815 Issued in NY
Practice address
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone
(385) 308-8034
NPI assigned
Mar 7, 2017
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0014450 DE
Physical Therapist 225100000X 40.0134344 VT
Physical Therapist 225100000X PT200001280 DC
Physical Therapist 225100000X 28721 MD
Physical Therapist 225100000X 25853 MA
Physical Therapist 225100000X 40QA02055300 NJ
Physical Therapist 225100000X PT029943 PA
Physical Therapist 225100000X PT03437 RI
Physical Therapist 225100000X 070027634 IL
Physical Therapist 225100000X PT6096 ME
Physical Therapist 225100000X 4902 NH
Physical Therapist 225100000X 1378615 TX
Physical Therapist 225100000X 211531 AK
Physical Therapist 225100000X 304552 CA
Physical Therapist 225100000X 037815 NY Primary

Addresses

Primary practice location

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034

Other practice location 1

1495 Military Rd
Kenmore, NY 14217-1339
Phone (716) 447-6037

Other practice location 2

2540 Sheridan Dr
Tonawanda, NY 14150-9410
Phone (716) 862-0567

Other practice location 3

1 Colomba Dr Ste 5
Niagara Falls, NY 14305-1275
Phone (716) 298-2249

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28721MDMDPharmacist
211531AKMDPhysical Therapist
304552CAMDPhysical Therapist
PT200001280DCMDPhysical Therapist
J1-0014450DEMDPhysical Therapist
070027634ILMDPhysical Therapist
25853MAMDPhysical Therapist
PT6096MEMDPhysical Therapist
4902NHMDPhysical Therapist
40QA02055300NJMDPhysical Therapist
PT029943PAMDPhysical Therapist
PT03437RIMDPhysical Therapist
1378615TXMDPhysical Therapist
40.0134344VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health System PastSince Jul 1, 2021 Accepting new patients
Kenmore Mercy Hospital PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1255871422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E WADSWORTH PARK DR STE 230",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208096",
            "telephone_number": "385-308-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Kenmore",
            "state": "NY",
            "postal_code": "142171339",
            "country_code": "US",
            "telephone_number": "716-447-6037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "141509410",
            "country_code": "US",
            "telephone_number": "716-862-0567",
            "fax_number": "716-862-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Colomba Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143051275",
            "country_code": "US",
            "telephone_number": "716-298-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSO",
        "first_name": "COURTNEY",
        "middle_name": "GARLOCK",
        "credential": "PT, DPT, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "40.0134344",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT200001280",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28721",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25853",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02055300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029943",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03437",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027634",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT6096",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4902",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1378615",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "211531",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304552",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "037815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.