Ann Charise Luciano Cooper, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1073508 Issued in OR

Practice address

405 NE 5TH St
Gresham, OR 97030-7345

Phone

(503) 666-5600

NPI assigned

May 28, 2008

Last updated

May 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1013175819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18176 MEADOW AVE",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970556821",
            "telephone_number": "541-264-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NE 5TH ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307345",
            "telephone_number": "503-666-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ANN CHARISE",
        "middle_name": "LUCIANO",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1073508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justina Marie Cook, CADCI,QMHA-R
• Emily Elizabeth Cooke, RDH, BSDH
• Gary Stewart Cooke, D.M.D.
• Andrew Cooley
• Alexandra Cooper, MA, QMHP
• Megan Mercedes Cooper
• Rogina Rayann Cooper
• Corina Lynn Copher, CPHT
• Yamile J Correa
• Gabrielle Christine Cortes, QMHA-R, PSS

• Occupational Therapist in Gresham, OR
• Providers in Gresham, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.