Individual provider Active NPI

Courtney Gail McIntyre, OTD

  • Occupational Therapist
  • Camas, WA
National Provider Identifier
1932682697
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60868661 Issued in WA
Practice address
6923 NW Friberg Strunk St Ste 110
Camas, WA 98607-7795
Phone
(360) 606-4300
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 OT60868661 WA Primary

Addresses

Primary practice location

6923 NW Friberg Strunk St Ste 110
Camas, WA 98607-7795

Mailing address

2940 NW Julia St
Camas, WA 98607-7544
Phone (360) 606-4300

Other practice location 1

1613 NE 259th St
Ridgefield, WA 98642-8787
Phone (360) 606-4300

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
OT60868661WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Therapy Works PLLC Occupational Therapist CurrentSince Aug 4, 2024 Accepting new patients
Risewell Foundation Occupational Therapist CurrentSince Aug 4, 2024 Accepting new patients

Locations

6923 NW Friberg Strunk St
Ste 110
Camas, WA 98607
Phone (360) 606-4300

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1932682697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 NW JULIA ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077544",
            "telephone_number": "360-606-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 NW FRIBERG STRUNK ST STE 110",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077795",
            "telephone_number": "360-606-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1613 NE 259th St",
            "address_purpose": "LOCATION",
            "city": "Ridgefield",
            "state": "WA",
            "postal_code": "986428787",
            "country_code": "US",
            "telephone_number": "360-606-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "COURTNEY",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60868661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.