Individual provider Active NPI

Elizabeth Deann Cooper, OT, CAE

  • Hand Occupational Therapist
  • Odessa, TX
National Provider Identifier
1760493761
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
100448 Issued in TX
Practice address
4407 N Grandview Ave
Odessa, TX 79762-5311
Phone
(432) 366-9541
Fax
(432) 366-1951
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 100448 TX
Ergonomics Occupational Therapist 225XE1200X 100448 TX
Hand Occupational Therapist 225XH1200X 100448 TX Primary

Addresses

Primary practice location

4407 N Grandview Ave
Odessa, TX 79762-5311

Mailing address

2 San Subia
Odessa, TX 79765-8521
Phone (432) 366-9541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802001080 TX Practitioner - Occupational Therapist in Private Practice 9335177138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odessa Physical Therapy PCGroup PAC ID 2163324955, 8 clinicians

Practice addresses (Care Compare)

4407 N Grandview Ave
Odessa, TX 79762-5311
Phone (432) 366-9541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100448TXMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Physical Therapy PC CurrentSince Jun 13, 2005 Accepting new patients

Locations

4407 N Grandview Ave
Odessa, TX 79762
Phone (432) 366-9541

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760493761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAN SUBIA",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658521",
            "telephone_number": "432-366-9541",
            "fax_number": "432-366-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625311",
            "telephone_number": "432-366-9541",
            "fax_number": "432-366-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ELIZABETH",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "OT, CAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100448",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "TX",
            "license": "100448",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "TX",
            "license": "100448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.