Active NPI
Cynthia Cunard, COTA
- Occupational Therapy Assistant
- Princeton, IA
National Provider Identifier
1124494877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 077178
- Practice address
- 600 N Highway 67 Lot 50
Princeton, IA 52768-9652 - Phone
- (563) 508-0981
- NPI assigned
- Aug 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 077178 | IA | Primary |
| Occupational Therapy Assistant | 224Z00000X | 057.004322 | IL |
Addresses
Primary practice location
600 N Highway 67 Lot 50
Princeton, IA 52768-9652
Mailing address
600 N Highway 67 Lot 50
Princeton, IA 52768-9652
Phone (563) 508-0981
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 |
|---|---|---|---|
| 077178 | IA | MD | Occupational Therapy Assistant |
| 057.004322 | IL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1124494877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N HIGHWAY 67 LOT 50",
"city": "PRINCETON",
"state": "IA",
"postal_code": "527689652",
"telephone_number": "563-508-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N HIGHWAY 67 LOT 50",
"city": "PRINCETON",
"state": "IA",
"postal_code": "527689652",
"telephone_number": "563-508-0981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNARD",
"first_name": "CYNTHIA",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "077178",
"primary": true
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IL",
"license": "057.004322",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.