Individual provider Active NPI

Heather Charlotte Copan, OTR

  • Pediatric Occupational Therapist
  • Macon, GA
National Provider Identifier
1245535244
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT000370 Issued in GA
Practice address
2520 Riverside Dr
Babies Can'T Wait
Macon, GA 31204-1571
Phone
(478) 745-9200
Fax
(478) 745-9040
NPI assigned
Jan 21, 2011
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 OT000370 GA Primary

Addresses

Primary practice location

2520 Riverside Dr
Babies Can'T Wait
Macon, GA 31204-1571

Mailing address

138 Rogers Ave
Macon, GA 31204-3012
Phone (478) 319-2264

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Rehab Inc CurrentSince Aug 1, 2013 Accepting new patients
Houston County Health Department Past Accepting new patients

Locations

110 Woodfield Dr
Macon, GA 31210
Phone (478) 475-7988

5962 Zebulon Rd
Macon, GA 31210
Phone (478) 227-6211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1245535244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 ROGERS AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043012",
            "telephone_number": "478-319-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 RIVERSIDE DR",
            "address_2": "BABIES CAN'T WAIT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041571",
            "telephone_number": "478-745-9200",
            "fax_number": "478-745-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPAN",
        "first_name": "HEATHER",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT000370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.