COURTNEY FULLEN (NPI# 1316507916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316507916 |
| Entity Type | Individual |
| Full Name | COURTNEY FULLEN |
| Credential | OTR/L |
| Practice Address |
59 Beechwood Ln Largo FL 33770-1803 |
| Mailing Address |
149 Hope Ave Worcester MA 01603-2214 |
| Practice Telephone | 7742424761 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT19607 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
59 BEECHWOOD LN |
| City | LARGO |
| State | FL |
| Zip Code | 33770-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494067 | Hannah Delahunt | Occupational Therapist | 12700 66th St Apt 1201, Largo, FL 33773-1728 | 2020-10-11 |
| 1073134508 | Jeremiah Hosea Denard Chambliss | Occupational Therapist | 3435 7th Ave Se, Largo, FL 33771-2726 | 2020-05-06 |
| 1982234936 | Jordan Amber Mott | Occupational Therapist | 102 Palmetto Ln, Largo, FL 33770-2616 | 2020-01-17 |
| 1689168973 | Lynne Block-hickock | Occupational Therapist | 12284 93rd St, Largo, FL 33773-2511 | 2018-06-19 |
| 1629565726 | Danielle Farrell | Occupational Therapist | 901 Clearwater Largo Rd N # 33626, Largo, FL 33770-4126 | 2018-04-16 |
| 1821468968 | Cynthia Grimes | Occupational Therapist | 2817 Whispering Dr N, Largo, FL 33771-5302 | 2015-10-01 |
| 1114311719 | Rachel Egger | Occupational Therapist | 3600 Oak Manor Lane, Largo, FL 33774-1212 | 2015-03-23 |
| 1023394335 | Nicole Albert | Occupational Therapist | 3600 Oak Manor Ln, Largo, FL 33774-1212 | 2011-11-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1427389949 | Linda Montreuil Fares | Occupational Therapist | 8254 118th Ave N, Suite 100, Largo, FL 33773 | 2010-01-22 |
| Find all providers in LARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.