Active NPI
Courtney Ward, OTR
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1760624142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 112929
- Practice address
- 910 N Jefferson St
Jacksonville, FL 32209-6810 - Phone
- (904) 360-7022
- Fax
- (904) 798-4544
- NPI assigned
- Mar 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 112929 | TX | Primary |
| Developmental Therapist | 222Q00000X | OT15169 | FL |
Addresses
Primary practice location
910 N Jefferson St
Jacksonville, FL 32209-6810
Mailing address
910 N Jefferson St
Jacksonville, FL 32209-6810
Phone (904) 360-7022
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT15169 | FL | MD | Developmental Therapist |
| 112929 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1760624142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096810",
"telephone_number": "904-360-7022",
"fax_number": "904-798-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 N JEFFERSON ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096810",
"telephone_number": "904-360-7022",
"fax_number": "904-798-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "COURTNEY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "112929",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": "OT15169",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.