Courtney Fickling, MHS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT14329 Issued in FL

Practice address

110 Solana Rd
Ponte Vedra Beach, FL 32082

Phone

(912) 682-9090

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sense Ability Occupational Therapy, LLC

  • Occupational Therapist
  • Ponte Vedra Beach, FL
  • NPI 1164908646
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1437467008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 9TH ST",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322335437",
            "telephone_number": "912-682-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "912-682-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKLING",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "MHS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jeanne Evans, DDS
• Laurie S. Fairall-Rueter, PSY.D.
• Allison Ann Falden, O.D.
• Family Smiles Ponte Vedra
• Larry Feldman, PT
• Carla M Field, DDS
• First Coast Brain Builders, LLC
• First Coast Counseling and Support Services
• First Coast Evaluation Center, LLC
• First Coast Vein, LLC

• Occupational Therapist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.