Individual provider Active NPI

Lyndsay Marie Kopping, C.O.T.A

  • Occupational Therapy Assistant
  • Rice Lake, WI
National Provider Identifier
1699170662
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5120-27 Issued in WI
Practice address
912 Terrace Dr
Rice Lake, WI 54868-1959
Phone
(715) 790-1286
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5120-27 WI Primary

Addresses

Primary practice location

912 Terrace Dr
Rice Lake, WI 54868-1959

Mailing address

912 Terrace Dr
Rice Lake, WI 54868-1959
Phone (715) 790-1286

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5120-27WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1699170662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 TERRACE DR",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681959",
            "telephone_number": "715-790-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 TERRACE DR",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681959",
            "telephone_number": "715-790-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPING",
        "first_name": "LYNDSAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5120-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.