Courtney Dwyer
Physical Therapist in South Haven, MI. Individual provider (NPI-1).
NPI number1205488707
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1205488707
- Entity type
- Individual (NPI-1)
- Name
- Courtney Dwyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2019
- Last updated
- Jul 15, 2019
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 |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501013497 | MI | Yes |
Practice location
950 S Bailey AveSouth Haven, MI 49090-8744
Phone 269-639-2929
Mailing address
950 S Bailey AveSouth Haven, MI 49090-8744
Phone 260-639-2929 · Fax 269-639-2928
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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 7 Physical Therapist providers in South Haven · All 257 providers in South Haven
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