Courtney C McCloud, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.015145 Issued in IL

Practice address

900 Main St Ste 320
Peoria, IL 61602-5010

Phone

(309) 672-4536

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1548019003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 S BLACKBURN CV",
            "city": "MAPLETON",
            "state": "IL",
            "postal_code": "615479529",
            "telephone_number": "309-267-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 320",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025010",
            "telephone_number": "309-672-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "COURTNEY",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.015145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McCavitt Chiropractic Center, P.C.
• Michael Shawn McCavitt, D.C.
• Amanda McClain
• Jocelyn R McClain, MD
• Kyle McClintock
• Kevin McClure, LCPC
• Kristin L McClure, SPEECH THERAPIST
• Lisa L. McClure, PSY.D.
• McConnell Chiropractic Center, S.C.
• Daniel Thomas McConnell, D.C.

• Pediatric Occupational Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.