Courtney Johnson Rhodes, MHS, OTR/L, C/NDT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2210 Issued in SC

Practice address

905 Winslow CT
Boiling Springs, SC 29316-5672

Phone

(864) 804-7959

Fax

(864) 578-6220

NPI assigned

May 9, 2007

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1750595153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 WINSLOW CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165672",
            "telephone_number": "864-804-7959",
            "fax_number": "864-578-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 WINSLOW CT",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165672",
            "telephone_number": "864-804-7959",
            "fax_number": "864-578-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "COURTNEY",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "MHS, OTR/L, C/NDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1462",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.