Courtney Kirkham, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA19395 Issued in FL

Practice address

1682 Penman Rd
Jacksonville Beach, FL 32250-3746

Phone

(904) 720-6472

NPI assigned

Mar 29, 2025

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": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1639972235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 ATLANTIC BLVD APT 97",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322333343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 PENMAN RD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503746",
            "telephone_number": "904-720-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "COURTNEY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA19395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kidd, NP
• Judith Ann Killeen, ARNP
• Aaron Kindsvatter, PH.D. LMHC
• Maxwell Clark King II, B.PH.
• Anneline Kingsley, M.D.
• Donny Klay, APRN
• Douglas M Kleiner, ATC
• Jennifer Leigh Knight, M.D.
• Donna M Knox, LMT
• Andrew William Koenig, PT, DPT, OCS, CSCS

• Occupational Therapy Assistant in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.