Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kourtney Randsdorp, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1710221668

Kourtney Randsdorp, OTR/L is an Occupational Therapist in Private Practice in Lancaster, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Functional Freedom LLC, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
14
Licensed in
NJ, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

105 Heritage Rd
Lancaster, PA 17602
Phone: (717) 572-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC012565 (PA)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence 46TR00592700 (NJ)

Record details

NPI number1710221668
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESMay 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Functional Freedom Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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