Shelby Copeland, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2287 Issued in OK

Practice address

1510 N Grand Ave
Tahlequah, OK 74464-6318

Phone

(918) 708-2119

NPI assigned

Mar 12, 2021

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

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.

• Therapysource for Kids, Inc.

  • Hearing and Speech Clinic/Center
  • Tulsa, OK
  • NPI 1447395033
  NPD (past)

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615593600000",
    "number": "1679158422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 W 221ST ST S",
            "city": "KELLYVILLE",
            "state": "OK",
            "postal_code": "740395667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N GRAND AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646318",
            "telephone_number": "918-708-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "SHELBY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micala Cooper
• Tanessa Cooper
• Donna Dannette Cope, M.ED.,CCC-SLP
• Joe D Cope, OD
• Kimberly Dawn Copeland
• Jo-Anna Coppin, APRN, FNP-C
• Cornerstone Health Care Resources, LLC
• Cornerstone Home Health Care
• Cornerstone Home Health Care
• Sonya Lynn Cornwell, PH.D.

• Occupational Therapy Assistant in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; 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.