Courtney Marie Wardlow, MSOT, OTRL
NPI 1164261988ActiveIndividual· Occupational Therapist· Clinton Twp, MI
Occupational Therapist (MSOT, OTRL) in Clinton Twp, Michigan, trained at Saginaw Valley Medical College - Nlg (class of 2023). Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1164261988 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSOT, OTRL |
| Sole proprietor | No |
| NPI issued | May 21, 2024 |
| Last updated in NPPES | Feb 24, 2025 |
| Certified by provider | Feb 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201013805 | MI |
| Occupational Therapist | 225X00000X | 341550 | LA |
| Occupational Therapist | 225X00000X | 2474 | WV |
| Occupational Therapist | 225X00000X | 31008371A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Medical school | Saginaw Valley Medical College - Nlg |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Crawl Walk Jump Run Therapy Clinic LLCClinton Township, MI · 12 clinicians
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All 22 occupational therapists in Clinton Twp · All occupational therapists in Michigan