Courtney Anna Tage Mortensen, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14535 Issued in FL

Practice address

1807 Short Branch Dr Ste 103
Trinity, FL 34655-4424

Phone

(727) 372-0182

Fax

(727) 372-0517

NPI assigned

Apr 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports and Orthopedic Rehabilitation Services, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tampa, FL
  • NPI 1336539030
  Medicare reassignment NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • New Port Richey, FL
  • NPI 1518357219
  NPD
• Sports and Orthopedic Rehabilitation Services Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Riverview, FL
  • NPI 1841981073
  NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1285923987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 BEACON POINT BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833901",
            "telephone_number": "770-853-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 SHORT BRANCH DR STE 103",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554424",
            "telephone_number": "727-372-0182",
            "fax_number": "727-372-0517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6474 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Port Richey",
            "state": "FL",
            "postal_code": "346686748",
            "country_code": "US",
            "telephone_number": "727-846-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "COURTNEY",
        "middle_name": "ANNA TAGE",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cmortensen@selectmedical.com",
            "affiliation": "Y",
            "endpointDescription": "Cmortensen@selectmedical.com",
            "affiliationName": "Sports and Orthopedic Rehabilitation Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6474 Ridge Rd",
            "city": "Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346686748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Angela Moreno, M.D.
• Rachel Kristen Morin
• Brittany Morris, APRN
• Darren Travis Morris, MD
• Kaylin Morris, APRN
• Morton Plant Health Services, Inc (Baycare Outpatient Imaging)
• Morton Plant Mease Health Services, Inc (Boi Trinity)
• Ahmed M. Mostafa, D.M.D
• Corey Mumaw
• Musculoskeletal Institute Chartered

• Occupational Therapist in Trinity, FL
• Providers in Trinity, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.