Susannah Lynn Coover, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27370 Issued in MD

Practice address

8885 Centre Park Dr Ste G
Columbia, MD 21045-2199

Phone

(410) 730-1275

NPI assigned

May 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Progressive Physical Therapy, LLC

  • Physical Therapist
  • Baltimore, MD
  • NPI 1649875030
  NPD (past)

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1003040791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8885 CENTRE PARK DR STE G",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452199",
            "telephone_number": "410-730-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 CENTRE PARK DR STE G",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452199",
            "telephone_number": "410-730-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOVER",
        "first_name": "SUSANNAH",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030112",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Cooper, RN
• Kiyah A Cooper
• Krystal Marysa Cooper, LGMFT
• Shanon Cooper
• Vicki Lynn Cooper, D.M.D.
• Coram Healthcare Corporation of Greater DC
• Natasha Corbin
• Melanie Rose Corbliss, DDS
• Sarah Corcoran, D.C.
• Cordillera Counseling Services LLC

• Physical Therapist in Columbia, MD
• Providers in Columbia, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.