Individual provider Active NPI

Courtney Marie Dodson, MS, OTR/L

  • Pediatric Occupational Therapist
  • Washington, DC
National Provider Identifier
1689207417
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT010001716 Issued in DC
Practice address
1301 Pennsylvania Ave SE BSMT
Washington, DC 20003-3027
Phone
(202) 544-5439
Fax
(202) 379-1797
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT010001716 DC Primary

Addresses

Primary practice location

1301 Pennsylvania Ave SE BSMT
Washington, DC 20003-3027

Mailing address

1301 Pennsylvania Ave SE BSMT
Washington, DC 20003-3027
Phone (202) 544-5439

Other practice location 1

2301 Columbia Pike Apt 125
Arlington, VA 22204-4453
Phone (571) 527-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT010001716DCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills on the Hill, LLC Pediatrics CurrentSince Aug 1, 2022 Accepting new patients

Locations

1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1689207417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE SE BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033027",
            "telephone_number": "202-544-5439",
            "fax_number": "202-379-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE SE BSMT",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033027",
            "telephone_number": "202-544-5439",
            "fax_number": "202-379-1797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Columbia Pike Apt 125",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044453",
            "country_code": "US",
            "telephone_number": "571-527-0818",
            "fax_number": "202-379-1797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODSON",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "DC",
            "license": "OT010001716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.