Individual provider Active NPI

Douglas John Sopher, COTA/L

  • Occupational Therapy Assistant
  • Greenville, PA
National Provider Identifier
1982999603
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP002439L Issued in PA
Practice address
339 E Jamestown Rd
Greenville, PA 16125-9206
Phone
(724) 588-7613
NPI assigned
Jun 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP002439L PA Primary

Addresses

Primary practice location

339 E Jamestown Rd
Greenville, PA 16125-9206

Mailing address

339 E Jamestown Rd
Greenville, PA 16125-9206
Phone (724) 588-7613

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

LicenseStateTypeSpecialty
OP002439LPAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1982999603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E JAMESTOWN RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259206",
            "telephone_number": "724-588-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E JAMESTOWN RD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161259206",
            "telephone_number": "724-588-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHER",
        "first_name": "DOUGLAS",
        "middle_name": "JOHN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP002439L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.