Individual provider Active NPI

Courtney Elliott, OTR/L

  • Occupational Therapist
  • Millington, TN
National Provider Identifier
1730563453
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0001589 Issued in DE
Practice address
8457 US Highway 51 N Ste 103
Millington, TN 38053-1553
Phone
(901) 873-3773
NPI assigned
Jul 13, 2015
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X U1-0001589 DE Primary

Addresses

Primary practice location

8457 US Highway 51 N Ste 103
Millington, TN 38053-1553

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (888) 735-6332

Other practice location 1

17252 N Village Main Blvd
Ste 2
Lewes, DE 19958-6292
Phone (302) 827-5123

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

State licenses

LicenseStateTypeSpecialty
U1-0001589DEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Harmony LLC Occupational Therapist Current Accepting new patients
Physiotherapy Associates Inc PastSince May 16, 2022 Accepting new patients
Physiotherapy Associates Inc PastSince May 16, 2022 Accepting new patients

Organizations & group practices 3

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": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1730563453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "888-735-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8457 US HIGHWAY 51 N STE 103",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531553",
            "telephone_number": "901-873-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17252 N Village Main Blvd",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199586292",
            "country_code": "US",
            "telephone_number": "302-827-5123",
            "fax_number": "302-645-1481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "COURTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0001589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.