Individual provider Active NPI

Paul S Cooper, OTR L CHT

  • Hand Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1659419901
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTR326 Issued in AR
Practice address
3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone
(479) 587-3130
Fax
(479) 444-6942
NPI assigned
Feb 1, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OTR326 AR Primary

Addresses

Primary practice location

3317 N Wimberly Dr
Fayetteville, AR 72703-4056

Mailing address

PO Box 1608
Fayetteville, AR 72702-1608
Phone (479) 587-3203

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
326ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Orthopaedics, PA CurrentSince Nov 15, 2010 Accepting new patients
Ozark Orthopaedics, P.a. CurrentSince Nov 15, 2010 Accepting new patients
Cooper Rehabilitation Center PastSince Mar 13, 2001 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Dennis Vowell II Psy.D Past Accepting new patients

Locations

1800 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 521-2752

3317 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 521-2752

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18403/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1659419901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1608",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021608",
            "telephone_number": "479-587-3203",
            "fax_number": "479-444-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 N WIMBERLY DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034056",
            "telephone_number": "479-587-3130",
            "fax_number": "479-444-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "OTR L CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AR",
            "license": "OTR326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.