Individual provider Active NPI

Lindsay Copper, COTA/L

  • Occupational Therapy Assistant
  • Greensboro, NC
National Provider Identifier
1356867675
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
13483 Issued in NC
Practice address
3907A W Market St
Greensboro, NC 27407-1303
Phone
(336) 279-9008
Fax
(336) 740-9099
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 13483 NC Primary

Addresses

Primary practice location

3907A W Market St
Greensboro, NC 27407-1303

Mailing address

4020 Triton TRL Apt 3B
High Point, NC 27265-3670
Phone (336) 772-4957

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

State licenses

LicenseStateTypeSpecialty
13483NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Interact Pediatric Therapy Services, PLLC CurrentSince Jan 21, 2024 Accepting new patients
The Carolina Center for ABA & Autism Treatment Past Accepting new patients
Carolina Center for Autism Services, LLC Past Accepting new patients

Locations

3907 W Market St
#A
Greensboro, NC 27407
Phone (336) 279-9008

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1356867675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 TRITON TRL APT 3B",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653670",
            "telephone_number": "336-772-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907A W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071303",
            "telephone_number": "336-279-9008",
            "fax_number": "336-740-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPER",
        "first_name": "LINDSAY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "13483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.