Abbie Lynn Cooprider, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31004834A Issued in IN

Practice address

3461 Saint Marys Rd
West Terre Haute, IN 47885-9683

Phone

(812) 917-5618

Fax

(812) 917-5618

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By 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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shakamak Rehab IncGroup PAC ID 8729517123, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shakamak Rehab Inc

  • Physical Therapy Clinic/Center
  • Jasonville, IN
  • NPI 1134996408

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1578866281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 SAINT MARYS RD",
            "city": "WEST TERRE HAUTE",
            "state": "IN",
            "postal_code": "478859683",
            "telephone_number": "812-917-5618",
            "fax_number": "812-917-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 SAINT MARYS RD",
            "city": "WEST TERRE HAUTE",
            "state": "IN",
            "postal_code": "478859683",
            "telephone_number": "812-917-5618",
            "fax_number": "812-917-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPRIDER",
        "first_name": "ABBIE",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004834A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Companions Healthcare Inc
• Sarah Cheesman, ED.S
• Stephanie Lorraine Combs
• Elizabeth Jane Conley, RNBSN
• Deana Conner
• Jeffrey Robert Dugan, LSW
• Grant J Ellis
• Amy Funkhouser, EDS
• Stacy Lynn Griswold, P.T.A.
• Catherine J Hadden, SCHOOL PSYCHOLOGIST

• Occupational Therapist in West Terre Haute, IN
• Providers in West Terre Haute, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.

Verify at the official NPI Registry.