Active NPI
Cortney Greenwell
- Occupational Therapy Assistant
- Blackwood, NJ
National Provider Identifier
1356685168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 1012/00436/TR/R
- Practice address
- 425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2960 - Phone
- (856) 374-6754
- NPI assigned
- Nov 16, 2012
- 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 Therapy Assistant | 224Z00000X | 1012/00436/TR/R | NJ | Primary |
Addresses
Primary practice location
425 Woodbury Turnersville Rd
Blackwood, NJ 08012-2960
Mailing address
601 Harwood CT
Mount Laurel, NJ 08054-2606
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1012/00436/TR/R | NJ | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1356685168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 HARWOOD CT",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080542606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WOODBURY TURNERSVILLE RD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "080122960",
"telephone_number": "856-374-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWELL",
"first_name": "CORTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NJ",
"license": "1012/00436/TR/R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.