Edna Ann Cooper, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001141 Issued in GA

Practice address

6300 Sagewood Dr
Suite H423
Park City, UT 84098-7502

Phone

(888) 499-4904

Fax

(435) 658-4954

NPI assigned

Feb 8, 2012

Last updated

Feb 8, 2012By the provider in NPPES

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": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1184996084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 OLD HWY 29",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306438703",
            "telephone_number": "706-680-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SAGEWOOD DR",
            "address_2": "SUITE H423",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987502",
            "telephone_number": "888-499-4904",
            "fax_number": "435-658-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EDNA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald A. Cofer, D.C.
• Jonathan F Coleman, DDS, PC
• William Randall Compton, M.D.
• Samantha Cook
• Vernon J Cooley, M.D.
• Taryn Corey, DPT
• County of Summit (North Summit Ambulance)
• County of Summit (Summit County Public Health)
• Tivoli Cousineau, LMFT
• Bradley Cris Cowley, D.O.

• Occupational Therapy Assistant in Park City, UT
• Providers in Park City, UT by specialty
• Occupational Therapy Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.

Verify at the official NPI Registry.