Individual provider Active NPI

Courtney Drury, OTR

  • Occupational Therapist
  • Rice Lake, WI
National Provider Identifier
1871903799
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5442-26 Issued in WI
Practice address
910 Bear Paw Avenue
Rice Lake, WI 54868
Phone
(715) 234-2604
NPI assigned
Apr 30, 2014
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5442-26 WI Primary

Addresses

Primary practice location

910 Bear Paw Avenue
Rice Lake, WI 54868

Mailing address

17424 109TH Avenue
Chippewa Falls, WI 54729
Phone (715) 781-9710

Other names 1

  • Courtney Drury Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614000682 WI Practitioner - Occupational Therapist in Private Practice 0446793822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Lakeland Home HealthcareGroup PAC ID 7012308224, 4 clinicians
Lakeland Physical Therapy L.L.C.Group PAC ID 6709919046, 7 clinicians

Practice addresses (Care Compare)

1446 116TH St
Chippewa Falls, WI 54729-5569
Phone (715) 239-2075

27477 Hwy 64
Suite C
Cornell, WI 54732-5223
Phone (715) 239-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5442-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Physical Therapy L.L.C. Occupational Therapist CurrentSince Jun 4, 2024 Accepting new patients
Lakeland Home Healthcare CurrentSince Jul 1, 2024 Accepting new patients

Locations

27477 State Highway 64
Ste C
Cornell, WI 54732
Phone (715) 239-0555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1871903799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 109TH AVENUE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-781-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BEAR PAW AVENUE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "54868",
            "telephone_number": "715-234-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRURY",
        "first_name": "COURTNEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5442-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DRURY",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.