| Ms Courtney Anna Tage Mortensen, OTR/L, CHT | |
|
1807 Short Branch Dr Ste 103, Trinity, FL 34655-4424 | |
| (727) 372-0182 | |
| (727) 372-0517 |
| Full Name | Ms Courtney Anna Tage Mortensen |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1807 Short Branch Dr Ste 103, Trinity, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285923987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT14535 (Florida) | Primary |
| Provider Name | Sports And Orthopedic Rehabilitation Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336539030 PECOS PAC ID: 0840104253 Enrollment ID: O20170728000765 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Courtney Anna Tage Mortensen, OTR/L, CHT 2246 Beacon Point Blvd, Palm Harbor, FL 34683-3901 Ph: (770) 853-6373 | Ms Courtney Anna Tage Mortensen, OTR/L, CHT 1807 Short Branch Dr Ste 103, Trinity, FL 34655-4424 Ph: (727) 372-0182 |
Mrs. Laura B. Francis, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10446 Tecoma Dr, Trinity, FL 34655 Phone: 727-364-1801 Fax: 888-556-8187 | |
Dayna Ethier, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Welbilt Blvd, Trinity, FL 34655 Phone: 877-787-3422 | |
Brianne Maravel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1036 Hagen Dr, Trinity, FL 34655 Phone: 727-267-4325 | |
Traci Lynn Mcguire, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2044 Trinity Oaks Blvd Ste 110, Trinity, FL 34655 Phone: 813-978-7000 Fax: 813-558-6185 | |
Calyx Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1533 Tawnyberry Ct, Trinity, FL 34655 Phone: 727-237-1403 | |
Active Living Rehabilitation Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10446 Pontofino Cir, Trinity, FL 34655 Phone: 727-376-4012 Fax: 727-375-7878 |