Courtney Jeanette Oliver, COTA/L, RBT/CBT

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60811004 Issued in WA

Practice address

10140 US-12
Rochester, WA 98579

Phone

(360) 273-5536

NPI assigned

Dec 23, 2018

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1545523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1326510728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 LAKE STEILACOOM DR SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984985720",
            "telephone_number": "136-035-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10140 US-12",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "98579",
            "telephone_number": "360-273-5536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 W McGraw St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981993239",
            "country_code": "US",
            "telephone_number": "206-453-4882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "COURTNEY",
        "middle_name": "JEANETTE",
        "credential": "COTA/L, RBT/CBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-23",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60811004",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miraldi
• Morgan Family Dental
• Nathan Reid Morgan, D.D.S.
• N W Pediatric Center Inc P S
• Darren Michael Nealis, LICSW
• Options Consulting, PLLC
• Brian D Ottesen, ARNP
• Providence Health & Services - Washington
• Providence Health & Services - Washington
• Quixote Consulting

• Occupational Therapy Assistant in Rochester, WA
• Providers in Rochester, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.