Courtney Nicole Woll, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005503 Issued in IL

Practice address

1111 University Dr
Edwardsville, IL 62025-5589

Phone

(618) 692-2273

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1407586043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255589",
            "telephone_number": "618-692-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255589",
            "telephone_number": "618-692-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLL",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "618-541-0911",
            "affiliation": "N",
            "endpointDescription": "Mobile phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1111 University Dr",
            "city": "Edwardsville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620255589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Witt and Wisdom Counseling PLLC
• Michelle R. Witt, LCSW
• Rachel Witt
• Brent Douglas Wohlford, D.M.D.
• Diane Gail Wolfe, SLP
• Emily G Woodell, RBT
• Di'Ara Woods, PA-C
• Robert Wright, MSN, RN, CMSRN
• Easton Wyatt
• David Brian Yablonsky, D.O.

• Occupational Therapy Assistant in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.