Individual provider Active NPI

Courtney Hundtoft, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1326696386
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1928 Issued in NE
Practice address
17201 Wright St Ste 200
Omaha, NE 68130-2042
Phone
(402) 334-4773
Fax
(402) 330-7463
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1928 NE Primary

Addresses

Primary practice location

17201 Wright St Ste 200
Omaha, NE 68130-2042

Mailing address

17201 Wright St Ste 200
Omaha, NE 68130-2042
Phone (402) 334-4773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191007000602 NE Practitioner - Occupational Therapist in Private Practice 0941531982 Reassigns benefits to 1 organization
I20241216002216 IA Practitioner - Occupational Therapist in Private Practice 0941531982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Occupational Therapy Health and Wellness PLLCGroup PAC ID 4880023662, 11 clinicians

Practice addresses (Care Compare)

11213 Davenport St
Suite 100
Omaha, NE 68154-2604
Phone (316) 284-1583

524 Market St
Suite 104
Harlan, IA 51537-1453
Phone (316) 284-1583

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
89.93
Promoting interoperability
100
Improvement activities
40
Cost
54.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1928NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Occupational Therapy, Health & Wellness PLLC Occupational Therapist CurrentSince Dec 2, 2024 Accepting new patients

Locations

524 Market St
Ste 104
Harlan, IA 51537

11213 Davenport St
Ste 100
Omaha, NE 68154
Phone (316) 284-1583

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1326696386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 WRIGHT ST STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302042",
            "telephone_number": "402-334-4773",
            "fax_number": "402-330-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDTOFT",
        "first_name": "COURTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.