Active NPI
Christina Marie Cooper, OTR/L
- Occupational Therapist
- Lenoir City, TN
National Provider Identifier
1558028241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7063
- Practice address
- 198 Morning Point Dr
Lenoir City, TN 37772-6448 - Phone
- (865) 988-7373
- NPI assigned
- Nov 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7063 | TN | Primary |
Addresses
Primary practice location
198 Morning Point Dr
Lenoir City, TN 37772-6448
Mailing address
1517 Silverdale LN
Knoxville, TN 37922-5579
Phone (321) 298-6166
Other names 1
- Christina Marie Edwards
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211130000374 | TN | Practitioner - Occupational Therapist in Private Practice | 4789074147 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
155 Morning Point Dr
Lenoir City, TN 37772-6447
Phone (865) 635-4466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178
155 Morning Point Dr
Lenoir City, TN 37772
Phone (865) 230-1500
Organizations & group practices 24
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1558028241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 SILVERDALE LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379225579",
"telephone_number": "321-298-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 MORNING POINT DR",
"city": "LENOIR CITY",
"state": "TN",
"postal_code": "377726448",
"telephone_number": "865-988-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "7063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "EDWARDS",
"middle_name": "MARIE",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lenoir City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.