Provider Demographics
NPI:1942556436
Name:THOMPSON, COURTNEY BESS (MA, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:BESS
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:382 CENTRAL PARK W
Mailing Address - Street 2:STE 12F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6054
Mailing Address - Country:US
Mailing Address - Phone:323-687-5081
Mailing Address - Fax:
Practice Address - Street 1:382 CENTRAL PARK W
Practice Address - Street 2:STE 12F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6054
Practice Address - Country:US
Practice Address - Phone:323-687-5081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0159721225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist