Lorie Hope Coberly, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002275 Issued in OH

Practice address

504 Colonial Dr
Beavercreek, OH 45434-5810

Phone

(937) 371-9058

NPI assigned

Oct 27, 2021

Sex

Female

Sole proprietor

No

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1326702275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 KECK PARK CIR NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206301",
            "telephone_number": "330-498-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 COLONIAL DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454345810",
            "telephone_number": "937-371-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERLY",
        "first_name": "LORIE",
        "middle_name": "HOPE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA002275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clincare International Center LTD
• Clincare International Center LTD
• Jason Clingenpeel
• Erika Cloonan, CF-SLP
• Sarah Helen Clouse, MD
• D. Scott Coffman
• Sheri Lynne Coffman, LPC
• Lauren Cole, RN
• Lindsey M Cole, SLP
• Elizabeth A Colebank-Andes, AGACNP

• Occupational Therapy Assistant in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.