Active NPI
Samantha Cooper, MSOT, OTR
- Occupational Therapist
- Pompton Plains, NJ
National Provider Identifier
1053602995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00516900
- Practice address
- 1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100 - Phone
- (973) 831-3674
- NPI assigned
- Apr 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00516900 | NJ | Primary |
Addresses
Primary practice location
1 Cedar Crest Village Dr
Pompton Plains, NJ 07444-2100
Mailing address
400 W Blackwell St
Dover, NJ 07801-2525
Other practice location 1
400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 989-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00516900 | NJ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1053602995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W BLACKWELL ST",
"city": "DOVER",
"state": "NJ",
"postal_code": "078012525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CEDAR CREST VILLAGE DR",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074442100",
"telephone_number": "973-831-3674"
}
],
"practiceLocations": [
{
"address_1": "400 W Blackwell St",
"address_purpose": "LOCATION",
"city": "Dover",
"state": "NJ",
"postal_code": "078012525",
"country_code": "US",
"telephone_number": "973-989-3383",
"fax_number": "973-366-0536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "SAMANTHA",
"credential": "MSOT, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00516900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.