Individual provider Active NPI

Courtney Elizabeth Mitchell, MS, OTR/L

  • Pediatric Occupational Therapist
  • Germantown, TN
National Provider Identifier
1740857648
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
0000006769 Issued in TN
Practice address
2100 Exeter Rd
Germantown, TN 38138-3966
Phone
(901) 757-1350
Fax
(901) 757-3496
NPI assigned
Jun 8, 2021
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 0000006769 TN Primary

Addresses

Primary practice location

2100 Exeter Rd
Germantown, TN 38138-3966

Mailing address

5220 Mason Rd
Memphis, TN 38117-2117
Phone (615) 290-3711

Other practice location 1

2120 Exeter Rd Ste 140
Germantown, TN 38138-3964
Phone (901) 757-1350

Other practice location 2

8350 Macon Rd
Cordova, TN 38018-8513
Phone (901) 545-9685

Other names 1

  • Courtney Elizabeth Abbott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506002025 TN Practitioner - Occupational Therapist in Private Practice 0244757904 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6769TNMDPharmacist
0000006769TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Mar 17, 2025 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Mar 17, 2025 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

Organizations & group practices 2

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1740857648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 MASON RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172117",
            "telephone_number": "615-290-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-757-1350",
            "fax_number": "901-757-3496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Exeter Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383964",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "fax_number": "901-757-3496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8350 Macon Rd",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380188513",
            "country_code": "US",
            "telephone_number": "901-545-9685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "0000006769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ABBOTT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.