Individual provider Active NPI

Catherine Louise Cooper, OT/L, CHT, LANA-CLT

  • Hand Occupational Therapist
  • Chesapeake, VA
National Provider Identifier
1801104922
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119003500 Issued in VA
Practice address
100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone
(757) 547-5145
Fax
(757) 539-7488
NPI assigned
Sep 23, 2010
Last updated
Mar 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003500 VA
Hand Occupational Therapist 225XH1200X 0119003500 VA Primary

Addresses

Primary practice location

100 Wimbledon SQ
Chesapeake, VA 23320-4931

Mailing address

100 Wimbledon SQ
Chesapeake, VA 23320-4931
Phone (757) 547-5145

Other names 1

  • Catherine Louise Withrow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000698 VA Practitioner - Occupational Therapist in Private Practice 5799949202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 Enterprise Pkwy
Suite 900
Hampton, VA 23666-6250
Phone (757) 827-2480

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
91.92
Promoting interoperability
97
Improvement activities
40
Cost
90.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119003500VAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Orthopaedic Associates Inc CurrentSince Oct 1, 2018 Accepting new patients
Tidewater Orthopaedic Associates Inc Occupational Therapist CurrentSince Oct 1, 2018 Accepting new patients
Tidewater Orthopaedic Associates Occupational Therapy Occupational Therapist Past Accepting new patients

Locations

901 Enterprise Pkwy
Ste 900
Hampton, VA 23666
Phone (757) 827-2480

4037 Ironbound Rd
Williamsburg, VA 23188
Phone (757) 206-1004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCCHBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1801104922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-539-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WIMBLEDON SQ",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204931",
            "telephone_number": "757-547-5145",
            "fax_number": "757-539-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CATHERINE",
        "middle_name": "LOUISE",
        "credential": "OT/L, CHT, LANA-CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003500",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "WITHROW",
            "middle_name": "LOUISE",
            "credential": "OT/L, CHT, LANA-CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.