Individual provider Active NPI

Courtney Joann Thomas

  • Pediatric Occupational Therapist
  • Redondo Beach, CA
National Provider Identifier
1922663111
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
19969 Issued in CA
Practice address
811 N Catalina Ave Ste 1300
Redondo Beach, CA 90277-2190
Phone
(805) 405-5490
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 19969 CA Primary

Addresses

Primary practice location

811 N Catalina Ave Ste 1300
Redondo Beach, CA 90277-2190

Mailing address

811 N Catalina Ave Ste 1300
Redondo Beach, CA 90277-2190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address courtney@playsensekids.com

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
19969CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Playsense Inc. Pediatrics Past Accepting new patients

Organizations & group practices 1

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1922663111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N CATALINA AVE STE 1300",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N CATALINA AVE STE 1300",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772190",
            "telephone_number": "805-405-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "COURTNEY",
        "middle_name": "JOANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "19969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney@playsensekids.com",
            "affiliation": "N",
            "address_1": "2314 Vanderbilt Ln Unit B",
            "city": "Redondo Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902784974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.