Active NPI
Courtney Anne Livoti, OTR/L
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1538635511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60983285
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-4472 - Phone
- (516) 462-2410
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | NY | ||
| Occupational Therapist | 225X00000X | OT60983285 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-4472
Mailing address
610 SW 52ND St Apt 714
Lawton, OK 73505-6851
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 |
|---|---|---|---|
| OT60983285 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1538635511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SW 52ND ST APT 714",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984314472",
"telephone_number": "516-462-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVOTI",
"first_name": "COURTNEY",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60983285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
- Living & Wellness Centers PS
- Michael Bruce Livingston, CRNA
- Robert R Livingston, M.D.
- Deanna Sue Livingstone, M.D.
- Jessica Katherine Livolsi, SWEDISH CERTIFICATE
- Kokmaduwe Palitha Liyanage, B.A.
- Liz'S Adult Counseling LLC
- Joaquin Aldair Lizaola, PA-C
- Lizotte P & O Associates LLC
- Thomas W Lizotte Jr., CPO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.