Individual provider Active NPI

Sandra Beth Reis-Cooper, MS OTR/L

  • Pediatric Occupational Therapist
  • New York, NY
National Provider Identifier
1164730040
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
007229 Issued in NY
Practice address
140 W End Ave Apt 1G
New York, NY 10023-6149
Phone
(917) 596-7912
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 007229 NY Primary

Addresses

Primary practice location

140 W End Ave Apt 1G
New York, NY 10023-6149

Mailing address

37 Kilmer Rd
Larchmont, NY 10538-2608
Phone (917) 596-7912

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007229NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1164730040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 KILMER RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382608",
            "telephone_number": "917-596-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W END AVE APT 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236149",
            "telephone_number": "917-596-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS-COOPER",
        "first_name": "SANDRA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.