Active NPI
Courtney A Barone, MS OTR/L
- Occupational Therapist
- Richmond, VA
National Provider Identifier
1306347190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007059
- Practice address
- 5421 Patterson Ave
Richmond, VA 23226-2003 - Phone
- (804) 288-0642
- Fax
- (804) 285-0292
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119007059 | VA | Primary |
Addresses
Primary practice location
5421 Patterson Ave
Richmond, VA 23226-2003
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050
Other practice location 1
2765 Jefferson Davis Hwy Ste 203
Stafford, VA 22554-8331
Phone (540) 720-2261
Other names 1
- Courtney Soper
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119007059 | VA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleming Therapy Services, LLC | Occupational Therapist | Past | Accepting new patients |
| Ivyrehab Sept, LLC | Occupational Therapist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Stafford, VA
- NPI 1194925818
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1306347190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224",
"telephone_number": "914-294-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262003",
"telephone_number": "804-288-0642",
"fax_number": "804-285-0292"
}
],
"practiceLocations": [
{
"address_1": "2765 Jefferson Davis Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Stafford",
"state": "VA",
"postal_code": "225548331",
"country_code": "US",
"telephone_number": "540-720-2261",
"fax_number": "540-720-5660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARONE",
"first_name": "COURTNEY",
"middle_name": "A",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "SOPER",
"credential": "MS OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.