Individual provider Active NPI

Courtney Celeste Foust, OTR/L

  • Pediatric Occupational Therapist
  • Tallahassee, FL
National Provider Identifier
1770935918
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
17833 Issued in FL
Practice address
1725 Hermitage Blvd
Tallahassee, FL 32308-7709
Phone
(850) 325-6301
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 17833 FL Primary

Addresses

Primary practice location

1725 Hermitage Blvd
Tallahassee, FL 32308-7709

Mailing address

1725 Hermitage Blvd
Tallahassee, FL 32308-7709
Phone (850) 325-6301

Other identifiers 2

IdentifierTypeStateIssuer
018131500MedicaidFL
OT17833OtherFLSTATE OF FLORIDA OCCUPATIONAL THERAPY LICENSE

Other names 1

  • Courtney Celeste Taylor Former name

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

LicenseStateTypeSpecialty
17833FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1770935918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 HERMITAGE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087709",
            "telephone_number": "850-325-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 HERMITAGE BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087709",
            "telephone_number": "850-325-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUST",
        "first_name": "COURTNEY",
        "middle_name": "CELESTE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "17833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018131500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OT17833",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "TAYLOR",
            "middle_name": "CELESTE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.