Courtney Megan Sidebottom, COTA/L
Occupational Therapy Assistant in Louisville, KY. Individual provider (NPI-1).
NPI number1104592666
StatusActive
Last updated in NPPESAug 16, 2021
Details
- NPI
- 1104592666
- Entity type
- Individual (NPI-1)
- Name
- Courtney Megan Sidebottom
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2021
- Certification date
- Aug 16, 2021
- Last updated
- Aug 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 163850 | KY | Yes |
Practice location
2701 Chestnut Station CtLouisville, KY 40299-6395
Phone 800-335-1060
Mailing address
1025 Mallards CvBardstown, KY 40004-5738
Phone 502-689-3331
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 327 Occupational Therapy Assistant providers in Louisville · All 27,512 providers in Louisville
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