Courtney Mader, OTR/L
Individual provider Active NPI Occupational Therapist · Byron, GA
NPI 1639715972 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1639715972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT007575 (GA)
- Practice address
- 1960 Ga-247 Conn
Byron, GA 31008 - Phone
- (478) 654-2000
- NPI assigned
- Nov 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston Orthopedic Surgery and Sports Medicine, P.C.
Practice addresses (Care Compare)
3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8556
Phone (478) 953-4563
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230206000579 | GA | Practitioner - Occupational Therapist in Private Practice | 1658743414 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007575 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current |
Accepting new patients | |
| Houston Orthopedic Surgery & Sports Medicine, P.C. | Current |
Accepting new patients | |
| Occupational Health Centers of Georgia | Past | Accepting new patients |
Locations
1013 Main St
Perry, GA 31069
Phone (478) 953-4563
3051 Watson Blvd
Ste 525
Warner Robins, GA 31093
Phone (478) 953-4563
3051 Watson Blvd
Warner Robins, GA 31093
Phone (478) 953-4563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT007575 | GA | Yes |
Addresses
Primary practice location
1960 Ga-247 Conn
Byron, GA 31008
Mailing address
216 Shasta Dr
Perry, GA 31069-8712
Phone (478) 952-9769
Other providers in Byron, GA
- Lifepointe Medical Providers LLC
- Lined Transportation Services LLC
- Carri Livingston
- James A. Livingston
- Tunisia Love
- Ashley McBride
- Lindsey McCoy
- Sherie McGee
- Medepress Diagnostics Laboratories
- Middle Georgia Family Rehab
All providers in Byron, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.