Individual provider Active NPI

Courtney T Sickel, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1316631245
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4320 A1A S Ste 7
St Augustine, FL 32080-7436
Phone
(904) 679-3449
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4320 A1A S Ste 7
St Augustine, FL 32080-7436

Mailing address

50 Pine Shadow Pkwy Apt 1102
Ponte Vedra, FL 32081-0197
Phone (215) 595-6591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620002399 FL Practitioner - Physical Therapist in Private Practice 0648638817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians

Practice addresses (Care Compare)

105 Mariner Health Way
Suite 213
St Augustine, FL 32086-3251
Phone (904) 217-4259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 23, 2025 Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist PastSince Apr 27, 2025 Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist PastSince Sep 5, 2023 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

5547 A1A S
Ste 109
Saint Augustine, FL 32080
Phone (904) 679-3449

105 Mariner Health Way
Ste 213
St Augustine, FL 32086
Phone (904) 217-4259

4320 A1A S
Ste 7
St Augustine, FL 32080
Phone (904) 217-4259

4299 A1A S
St Augustine, FL 32080
Phone (904) 217-4259

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1316631245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PINE SHADOW PKWY APT 1102",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810197",
            "telephone_number": "215-595-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 A1A S STE 7",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807436",
            "telephone_number": "904-679-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKEL",
        "first_name": "COURTNEY",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.