Courtney Brechin Vincent, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

284621 Issued in KY

Practice address

635 S Main St
Leitchfield, KY 42754-1056

Phone

(270) 287-0656

NPI assigned

Apr 11, 2023

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

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.

• Early Intervention and Consultation Services, LLC

  dba Eics, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Leitchfield, KY
  • NPI 1780092957
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1538854955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CROW HOLLOW RD",
            "city": "CLARKSON",
            "state": "KY",
            "postal_code": "427268107",
            "telephone_number": "270-589-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541056",
            "telephone_number": "270-287-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "COURTNEY",
        "middle_name": "BRECHIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KY",
            "license": "284621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin Lakes Home Health Agency, LLC (Twin Lakes Home Health)
• Twin Lakes Medical Foundation Inc
• Bailey Vanmeter
• Cynthia G. Veyel, APRN
• Clay D Vincent, APRN
• Hillary Elizabeth Vincent
• Jacklyn Vincent
• Sherry Lynn Vincent
• Wal-Mart Stores East LP (Walmart Pharmacy 100445)
• Walgreen Co (Rite Aid # 17073)

• Pediatric Occupational Therapist in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Pediatric Occupational Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.