Susan Gayle Cooper, OTR/L is a
Occupational Therapist - Pediatrics based in Hailey, Idaho. Susan Gayle Cooper is licensed to practice in * (Not Available) (license number ) and her current practice location is
1050 Fox Acres Rd, Hailey, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 720-3729.
NPI number for Susan Gayle Cooper is 1588222590 and her current mailing address is 820 S Main St Unit 3166, Hailey, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588222590.
Healthcare Provider's Profile
| Full Name | Susan Gayle Cooper |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 1050 Fox Acres Rd, Hailey, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588222590
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 07/02/2024
Medical Identifiers
Medical identifiers for Susan Gayle Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588222590 | NPI | - | NPPES |
| OT-475 | Other | ID | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT-475 (Idaho) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Gayle Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Gayle Cooper, OTR/L
820 S Main St Unit 3166,
Hailey, ID 83333-6319
Ph: (208) 720-3729 | Susan Gayle Cooper, OTR/L
1050 Fox Acres Rd,
Hailey, ID 83333-8456
Ph: (208) 720-3729 |
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