Olivia Grace Cooper, OTD, OTR/L
Occupational Therapist, Pediatrics in Cincinnati, OH. Individual provider (NPI-1).
NPI number1124883087
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1124883087
- Entity type
- Individual (NPI-1)
- Name
- Olivia Grace Cooper
- Credential
- OTD, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT012760 | OH | Yes |
Practice location
3430 Burnet Ave # 4007Cincinnati, OH 45229-2833
Phone 513-636-5349
Mailing address
3430 Burnet Ave # 4007Cincinnati, OH 45229-2833
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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