Stephanie Anne Koeper, OTR/MS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

830 Parker SQ
Flower Mound, TX 75028

Phone

(972) 410-5297

NPI assigned

Aug 21, 2007

Last updated

Jun 19, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1558554832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CARNABY CT",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762627400",
            "telephone_number": "309-269-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARKER SQ",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75028",
            "telephone_number": "972-410-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10560 Old Olive Street Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631415916",
            "country_code": "US",
            "telephone_number": "314-567-4707",
            "fax_number": "314-567-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEPER",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "OTR/MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558554832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew James Kolker, DC
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• Jacqueline Ann Koon, RDH
• Sarah Angelina Kowal, MD

• Occupational Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.