Active NPI
Deborah A Cooper, O.T.
- Occupational Therapist
- Woburn, MA
National Provider Identifier
1780715011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4777
- Practice address
- 150 Presidential Way
Suite 110
Woburn, MA 01801-1100 - Phone
- (781) 782-1300
- Fax
- (781) 782-1350
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4777 | MA | Primary |
Addresses
Primary practice location
150 Presidential Way
Suite 110
Woburn, MA 01801-1100
Mailing address
150 Presidential Way
Suite 110
Woburn, MA 01801-1100
Phone (781) 782-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4777 | Other | MA | STATE LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780715011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PRESIDENTIAL WAY",
"address_2": "SUITE 110",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011100",
"telephone_number": "781-782-1300",
"fax_number": "781-782-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PRESIDENTIAL WAY",
"address_2": "SUITE 110",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011100",
"telephone_number": "781-782-1300",
"fax_number": "781-782-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "4777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4777",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.