Courtney A. Vickery

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2007035740 Issued in MO

Practice address

10560 Old Olive Street Rd
Suite 100
Creve Coeur, MO 63141-5916

Phone

(314) 567-4707

Fax

(314) 567-4505

NPI assigned

Apr 15, 2008

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

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1487828034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BONHOMME LAKE DR",
            "address_2": "APT. H",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631325305",
            "telephone_number": "573-576-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 OLD OLIVE STREET RD",
            "address_2": "SUITE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415916",
            "telephone_number": "314-567-4707",
            "fax_number": "314-567-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "COURTNEY",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2007035740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Eugene Vananne, D.C.
• Monica Gorman Varner, COTA
• Lillian Grace Varney
• Brittany Venable, FNP
• Dakota Vest, DC
• Taylor Viehman, MSW, LMSW
• Viking Anesthesia Services, LLC
• Whitney Villmer, LMSW
• Vios Fertility Institute St. Louis, LLC
• Brooke Renea Viox

• Occupational Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.