Active NPI
Courtney Conrad, OTR/L
- Physical Rehabilitation Occupational Therapist
- Ventura, CA
National Provider Identifier
1386254167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- Practice address
- 5445 Everglades St
Ventura, CA 93003-6523 - Phone
- (805) 642-1736
- NPI assigned
- Aug 5, 2020
- 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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Primary |
Addresses
Primary practice location
5445 Everglades St
Ventura, CA 93003-6523
Mailing address
5455 8TH St Unit 42
Carpinteria, CA 93013-2438
Phone (562) 455-5017
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1386254167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 8TH ST UNIT 42",
"city": "CARPINTERIA",
"state": "CA",
"postal_code": "930132438",
"telephone_number": "562-455-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 EVERGLADES ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036523",
"telephone_number": "805-642-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "COURTNEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.