Courtney June Mauro, OTR/L
Individual provider Active NPI Occupational Therapist · Rockledge, FL
NPI 1386424315 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1386424315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT24653 (FL)
- Practice address
- 6520 3Rd St
Rockledge, FL 32955-5703 - Phone
- (321) 622-8792
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT24653 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angela Atcheson Taylor LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT24653 | FL | Yes |
Addresses
Primary practice location
6520 3Rd St
Rockledge, FL 32955-5703
Mailing address
444 Eldora Dr
Oak Hill, FL 32759-9328
Phone (704) 657-8021
Other providers in Rockledge, FL
- Stephan A Massiah
- Sajida Mathew
- Nyianni Mathis
- Heidi Mattessich
- April Matthews
- Alan Michael May II
- Debra Maymon
- Lisa Kathleen McAteer
- Pearl Yvette McCain
- Bonnie Dee McClelland
All providers in Rockledge, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.