Paul S Cooper, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

1165 Issued in CA

Practice address

1101 Judy Way
Ridgecrest, CA 93555-5638

Phone

(760) 446-4520

NPI assigned

Jan 22, 2015

Sex

Male

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1255720678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JUDY WAY",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555638",
            "telephone_number": "760-446-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JUDY WAY",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555638",
            "telephone_number": "760-446-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Brianne Constable, M.S. CCC-SLP
• Linda Rae Conway, NP
• Lindsay Marie Cook
• Theresa Marie Cook
• Yvette Pringle Cook
• Jennifer Marlen Cordovi Tirado
• Lawrence N. Cosner Jr., MD
• County of Kern
• County of Kern
• Stephanie Crapo, MD

• Physical Rehabilitation Occupational Therapist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Physical Rehabilitation Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.