Lanna Koop, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2730 Isabella Blvd Ste 10
Jacksonville Beach, FL 32250-8002

Phone

(904) 372-4070

NPI assigned

Feb 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Therapy & Learning Center, Inc.

  • Occupational Therapist
  • Jacksonville Beach, FL
  • NPI 1184711053
  NPD (past)

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1023400033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 PEBBLE BROOK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245663",
            "telephone_number": "419-515-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ISABELLA BLVD STE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508002",
            "telephone_number": "904-372-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOP",
        "first_name": "LANNA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Knight, M.D.
• Donna M Knox, LMT
• Andrew William Koenig, PT, DPT, OCS, CSCS
• Rachel Hoover Koenig, BCBA
• Sherri Koning
• Ellen Kordonowy, MA
• Michelle M Krawczyk, ARNP
• Angela Mahoney Kreidl, MS OTRL
• Michael D Kring, PA
• Kulak Oculofacial LLC

• Occupational Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.