Active NPI
Rachael Courtney
- Occupational Therapist
- Clinton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.011934
- Practice address
- 1 Park LN W
Clinton, IL 61727-2637 - Phone
- (217) 935-8500
- NPI assigned
- Apr 17, 2017
- Last updated
- Apr 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WI
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2999 | AR | MD | Occupational Therapist |
| 056.011934 | IL | MD | Occupational Therapist |
| OT3274 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Il LLC | Occupational Therapist | Current | Accepting new patients |
| Oasis Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Oshkosh, WI
- NPI 1386381598
IL, Occupational Therapist
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Occupational Therapist
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
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.