Individual provider Active NPI

Courtney Hurd, OTR

  • Occupational Therapist
  • Fitchburg, WI
National Provider Identifier
1871934802
Registry record updated Sep 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5100-26 Issued in WI
Practice address
5440 Caddis BND
Fitchburg, WI 53711-7105
Phone
(608) 571-0996
NPI assigned
Jul 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2020

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 5100-26 WI Primary

Addresses

Primary practice location

5440 Caddis BND
Fitchburg, WI 53711-7105

Mailing address

3054 Acker St
Cross Plains, WI 53528-9557
Phone (608) 574-0027

Other practice location 1

W175N11117 Stonewood Dr
Germantown, WI 53022-6508
Phone (262) 293-3951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000988 WI Practitioner - Occupational Therapist in Private Practice 6002059888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5100-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Rehabilitation LLC CurrentSince Feb 17, 2025 Accepting new patients
Preceptor Health Care Past Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

6109 Braun Rd
Mount Pleasant, WI 53403
Phone (262) 484-4724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1871934802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 ACKER ST",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289557",
            "telephone_number": "608-574-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 CADDIS BND",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117105",
            "telephone_number": "608-571-0996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W175N11117 Stonewood Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "WI",
            "postal_code": "530226508",
            "country_code": "US",
            "telephone_number": "262-293-3951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURD",
        "first_name": "COURTNEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5100-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.