Active NPI
Bridget Marie Coogan, OTR/L
- Occupational Therapist
- Haverford, PA
National Provider Identifier
1083973820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012281
- Practice address
- 3300 Darby Rd
Haverford, PA 19041-1061 - Phone
- (610) 642-3000
- NPI assigned
- May 14, 2012
- 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 | OC012281 | PA | Primary |
Addresses
Primary practice location
3300 Darby Rd
Haverford, PA 19041-1061
Mailing address
301 Kathmere Rd
Havertown, PA 19083-3931
Phone (610) 789-3603
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 |
|---|---|---|---|
| OC012281 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1083973820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 KATHMERE RD",
"city": "HAVERTOWN",
"state": "PA",
"postal_code": "190833931",
"telephone_number": "610-789-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DARBY RD",
"city": "HAVERFORD",
"state": "PA",
"postal_code": "190411061",
"telephone_number": "610-642-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOGAN",
"first_name": "BRIDGET",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-14",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.