Active NPI
Kathryn Lucy Dedionisio Cooper, MSOT, OTR/L
- Occupational Therapist
- Conneaut, OH
National Provider Identifier
1811847759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT012512
- Practice address
- 158 W Main Rd
Conneaut, OH 44030-2039 - Phone
- (440) 593-0356
- NPI assigned
- Jan 30, 2026
- Last updated
- Jan 30, 2026
- 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 | OT012512 | OH | Primary |
Addresses
Primary practice location
158 W Main Rd
Conneaut, OH 44030-2039
Mailing address
1460 Dolphin Way
Erie, PA 16509-7608
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT012512 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1811847759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 DOLPHIN WAY",
"city": "ERIE",
"state": "PA",
"postal_code": "165097608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 W MAIN RD",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302039",
"telephone_number": "440-593-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KATHRYN",
"middle_name": "LUCY DEDIONISIO",
"name_prefix": "Mrs.",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-30",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT012512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.