Cori Paige Eastham

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

163952 Issued in KY

Practice address

2480 US Highway 41 N Ste 80
Henderson, KY 42420-2300

Phone

(270) 823-3875

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1124730759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "STURGIS",
            "state": "KY",
            "postal_code": "424590032",
            "telephone_number": "270-952-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 US HIGHWAY 41 N STE 80",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202300",
            "telephone_number": "270-823-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "CORI",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "163952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dunaway, R.PH.
• Leslie L Dunn, NP
• Ashley Durham, APRN, CNM, FNP
• Shirley Dyer-Beard
• E L Meier, Inc.
• Sarah Marie Eastwood, COTA/L
• Edp of Kentucky PC
• John David Edwards, R.PH.
• Kathryn Marie Ekstrom, M.D.
• Mohamed A. El-Awady, M.D

• Occupational Therapy Assistant in Henderson, KY
• Providers in Henderson, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.