Active NPI
Cheryl Lynne Boop, MS, OTR/L
- Occupational Therapist
- Columbus, OH
National Provider Identifier
1548323116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008427
- Practice address
- 255 E Main St
Columbus, OH 43215-5222 - Phone
- (614) 722-2690
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008427 | OH | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT003195 | GA |
Addresses
Primary practice location
255 E Main St
Columbus, OH 43215-5222
Mailing address
4013 Basswood Ave
Grove City, OH 43123-9265
Phone (706) 614-1682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 596798250A | Medicaid | GA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008427 | OH | MD | Occupational Therapist |
| OT003195 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1548323116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 BASSWOOD AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239265",
"telephone_number": "706-614-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155222",
"telephone_number": "614-722-2690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOP",
"first_name": "CHERYL",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT008427",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT003195",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596798250A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.