Active NPI
Paul S Cooper, OTR L CHT
- Hand Occupational Therapist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OTR326
- 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, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 326 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, PA | Current | Accepting new patients | |
| Ozark Orthopaedics, P.a. | Current | Accepting new patients | |
| Cooper Rehabilitation Center | Past | 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
- 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.
-
dba Ozark Orthopaedic and Sports Medicine
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1649210584
-
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1255164570
-
- Occupational Medicine Clinic/Center
- Jonesboro, AR
- NPI 1457496630
-
- Clinical Psychologist
- Paragould, AR
- NPI 1881838266
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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.