Candice Marie Lopacki, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002175A Issued in IN

Practice address

1555 S Main St
Crown Point, IN 46307-0114

Phone

(219) 323-8700

NPI assigned

Sep 13, 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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1508535527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 73RD CT",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753517",
            "telephone_number": "773-405-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463070114",
            "telephone_number": "219-323-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPACKI",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002175A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jian Liu, MD
• Megan Dore Locks, DO
• Lolita LLC
• Darrell London, RBT
• Paden Long, RPH
• Jonalys Lopez Miranda, MSSP, PSYD
• Jonathan Lopez Sanchez, PTAIN
• Renee Charlotte Lopiccola, RPH
• Elzora Gelisa Lottie
• Emily Loudermilk, RBT

• Occupational Therapy Assistant in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.