Individual provider Active NPI

Rachael Courtney

  • Occupational Therapist
  • Clinton, IL
National Provider Identifier
1295269256
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.011934 Issued in IL
Practice address
1 Park LN W
Clinton, IL 61727-2637
Phone
(217) 935-8500
NPI assigned
Apr 17, 2017
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.011934 IL Primary
Occupational Therapist 225X00000X OTR2999 AR
Occupational Therapist 225X00000X OT3274 MS

Addresses

Primary practice location

1 Park LN W
Clinton, IL 61727-2637

Mailing address

1 Park LN W
Clinton, IL 61727-2637
Phone (217) 935-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200930003020 IL Practitioner - Occupational Therapist in Private Practice 9234558891 Reassigns benefits to 3 organizations
I20230921001632 WI Practitioner - Occupational Therapist in Private Practice 9234558891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Therapy Services LLCGroup PAC ID 8325427974, 73 clinicians

Practice addresses (Care Compare)

631 Hazel St
Oshkosh, WI 54901-4600
Phone (920) 393-9998

8170 McCormick Blvd
Suite 112
Skokie, IL 60076-2914
Phone (920) 252-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR2999ARMDOccupational Therapist
056.011934ILMDOccupational Therapist
OT3274MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Il LLC Occupational Therapist CurrentSince Sep 1, 2020 Accepting new patients
Oasis Therapy Services LLC Occupational Therapist CurrentSince Aug 8, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 24, 2021 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Jan 24, 2021 Accepting new patients

Locations

1455 W Mound Rd
Decatur, IL 62526
Phone (217) 247-7300

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 4

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1295269256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK LN W",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272637",
            "telephone_number": "217-935-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK LN W",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617272637",
            "telephone_number": "217-935-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "RACHAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011934",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2999",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.