Active NPI
Courtney Krouse McNeill, D.P.T.
- Physical Therapist
- Pasadena, CA
National Provider Identifier
1831434844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39494
- Practice address
- 3018 E Colorado Blvd
#100
Pasadena, CA 91107-3840 - Phone
- (626) 449-3900
- NPI assigned
- Dec 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 39494 | CA | Primary |
Addresses
Primary practice location
3018 E Colorado Blvd
#100
Pasadena, CA 91107-3840
Mailing address
3018 E Colorado Blvd
#100
Pasadena, CA 91107-3840
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39494 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1831434844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3018 E COLORADO BLVD",
"address_2": "#100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 E COLORADO BLVD",
"address_2": "#100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911073840",
"telephone_number": "626-449-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "COURTNEY",
"middle_name": "KROUSE",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-02",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.