Active NPI
Courtney Harness
- Occupational Therapy Assistant
- House Springs, MO
National Provider Identifier
1407624083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2021011409
- Practice address
- 6180 Highway MM
House Springs, MO 63051-2315 - Phone
- (636) 671-3382
- NPI assigned
- Dec 13, 2023
- 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 | 2021011409 | MO | Primary |
Addresses
Primary practice location
6180 Highway MM
House Springs, MO 63051-2315
Mailing address
13127 Golden Brook LN
De Soto, MO 63020-4448
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 |
|---|---|---|---|
| 2021011409 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1407624083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13127 GOLDEN BROOK LN",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630204448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6180 HIGHWAY MM",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630512315",
"telephone_number": "636-671-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARNESS",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2021011409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in House Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.