Individual provider Active NPI

Courtney Seib

  • Gerontology Occupational Therapist
  • Cape Coral, FL
National Provider Identifier
1952947194
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
OT19702 Issued in FL
Practice address
1914 Ottersrest LN
Cape Coral, FL 33990-6853
Phone
(847) 894-0651
NPI assigned
Nov 22, 2019
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational Therapist 225XG0600X OT19702 FL Primary

Addresses

Primary practice location

1914 Ottersrest LN
Cape Coral, FL 33990-6853

Mailing address

1914 Ottersrest LN
Cape Coral, FL 33990-6853
Phone (847) 894-0651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219001133 FL Practitioner - Occupational Therapist in Private Practice 5092149302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19702FLMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehability at Home, LLC CurrentSince May 27, 2021 Accepting new patients
Direct Access Counseling & Supportive Services, LLC PastSince Sep 12, 2017 Accepting new patients

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": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1952947194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 OTTERSREST LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906853",
            "telephone_number": "847-894-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 OTTERSREST LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906853",
            "telephone_number": "847-894-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIB",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT19702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.