Active NPI
Cheryl Coopman, OTR
- Occupational Therapist
- Brookfield, WI
National Provider Identifier
1124277124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1911-026
- Practice address
- 275 Regency CT
Suite 200
Brookfield, WI 53045-6168 - Phone
- (262) 798-9650
- Fax
- (262) 798-9652
- NPI assigned
- Sep 15, 2008
- 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 | 1911-026 | WI | Primary |
Addresses
Primary practice location
275 Regency CT
Suite 200
Brookfield, WI 53045-6168
Mailing address
275 Regency CT
Suite 200
Brookfield, WI 53045-6168
Phone (262) 798-9650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1911-026 | Other | WI | OCCUPATIONAL THERAPIST STATE LICENSE |
Other names 1
- Cheryl Soch
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1911-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1124277124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 REGENCY CT",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456168",
"telephone_number": "262-798-9650",
"fax_number": "262-798-9652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 REGENCY CT",
"address_2": "SUITE 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530456168",
"telephone_number": "262-798-9650",
"fax_number": "262-798-9652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPMAN",
"first_name": "CHERYL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1911-026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST STATE LICENSE",
"identifier": "1911-026",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "SOCH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.