Paige Cupp, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

508827 Issued in WI

Practice address

316 E. Fourteenth Street
Kaukauna, WI 54130-3308

Phone

(920) 766-6020

NPI assigned

Sep 9, 2014

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": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1366843435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 DEXTER ST.",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549618237",
            "telephone_number": "920-250-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E. FOURTEENTH STREET",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303308",
            "telephone_number": "920-766-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "PAIGE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "508827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Kaukauna
• Clear Approach Optometry SC
• Amy S Coulthard-Atwater, DO
• Courtney Covill, LPC-IT
• Timothy P Culligan, MD
• Curtis R. Hebdon, D.D.S., S.C.
• Jessica Dance
• Bruce R Danz, MD
• Emily Ann Dary, CRNA
• Phabian Treyvonne Dejean

• Occupational Therapy Assistant in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.