Individual provider Active NPI

Cassie S Cooper-Rodkey, OTL

  • Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1710270913
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT473 Issued in OK
Practice address
1200 N Stonewall Ave
RM. 1082
Oklahoma City, OK 73117-1215
Phone
(405) 271-2866
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT473 OK Primary

Addresses

Primary practice location

1200 N Stonewall Ave
RM. 1082
Oklahoma City, OK 73117-1215

Mailing address

5986 S Yale Ave
Tulsa, OK 74135-7414
Phone (918) 344-4011

Other practice location 1

4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Phone (405) 286-9699

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
OT473OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CCR Services LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1710270913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5986 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357414",
            "telephone_number": "918-344-4011",
            "fax_number": "918-344-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STONEWALL AVE",
            "address_2": "RM. 1082",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171215",
            "telephone_number": "405-271-2866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 N Classen Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731185031",
            "country_code": "US",
            "telephone_number": "405-286-9699",
            "fax_number": "918-286-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER-RODKEY",
        "first_name": "CASSIE",
        "middle_name": "S",
        "credential": "OTL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "OT473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.