Sharibeth Cooper, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056.007385 Issued in IL

Practice address

12581 Milstead Way Ste 302
Woodbridge, VA 22192-5445

Phone

(703) 239-7336

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tots to Teens Therapy Services, Inc

  • Occupational Therapist
  • Woodbridge, VA
  • NPI 1609049477
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1659502003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 FOXHALL MNR",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622251453",
            "telephone_number": "306-728-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY STE 302",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925445",
            "telephone_number": "703-239-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 Sky Hawk Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622214465",
            "country_code": "US",
            "telephone_number": "618-622-1791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHARIBETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.007385",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.007385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatmata Conteh
• Continental Dialysis Centers Inc
• Continew Enterprises Corp
• Continew Enterprises Corp
• Eleanor Cooney, RN CPNP
• Dyamond Charlea Copeland
• Kenneth Edward Copeland III, MSW
• Yvonneda Copeland, LCSW
• Danica Beaulac Copp, LICSW/MA LCSW/VA
• Sierra Coppage

• Pediatric Occupational Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pediatric Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.