Courtney Pittman, OCCUPATION THERAPIST

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4676 Issued in TN

Practice address

5819 Winding LN Ste 101
Hixson, TN 37343-4067

Phone

(423) 645-2746

NPI assigned

Dec 1, 2006

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrated Pathways, LLC

  • Occupational Therapist
  • Hixson, TN
  • NPI 1942894456
  NPD
• Scenic City Pediatric Therapy LLC

  • Pediatric Physical Therapist
  • Hixson, TN
  • NPI 1497494066
  NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1851469589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "423-645-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 WINDING LN STE 101",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434067",
            "telephone_number": "423-645-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "OCCUPATION THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4676",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936250461F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516681",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James WM. Pifer, BSPHARM,DPM,JD
• Richard W Pigg, MD
• Elizabeth A Pillow
• Pink Skies Wellness, PLLC (Nashville Brain Institute of Chattanooga)
• Christina Marie Pish, O.D.
• Jesse Steven Pollom, DDS
• Brian Porbansky, PT, DPT
• Lakendra Porter, NP
• Jeffrey Charles Poteralski
• Donna Jeanne Prelog, CNM

• Occupational Therapist in Hixson, TN
• Providers in Hixson, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.