Courtney Kinnison, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007310 Issued in GA

Practice address

5000 Research CT Ste 450
Suwanee, GA 30024-6660

Phone

(770) 205-5551

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kidztherapy Networks Inc

  • Pediatric Occupational Therapist
  • Cumming, GA
  • NPI 1700913522
  NPD (past)

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1669935839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 VENUE WAY APT 2306",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054533",
            "telephone_number": "985-507-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 RESEARCH CT STE 450",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246660",
            "telephone_number": "770-205-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "COURTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinetic Heart PT LLC
• Clayton Maxwell King, DO
• Erika King, DMD
• Hope Strawn King
• Priscilla Joanne King, L.P.C.
• Morravja Kirkland, RBT
• Arya Andikot Kishor
• KJ Group Enterprises, Inc.
• Barry Leonard Klein, PH.D.
• Kylie Klim, RBT

• Occupational Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.