IndividualActive
Courtney Wattles, OTR/L
NPI 1417569799 · Gerontology Occupational Therapist · Wellsboro, PA
Provider details
- NPI number
- 1417569799
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OC016611 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1883 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone: (570) 724-3913
Street-level locationGet directions
Mailing address
1883 Shumway Hill Rd
Wellsboro, PA 16901-6840
Registry dates
- Enumerated
- 2020-08-19
- Last updated
- 2022-06-07
- Certified
- 2022-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.