Kaitlyn Michele Cooney

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044608 Issued in NY

Practice address

191 N Main St
Wellsville, NY 14895-1150

Phone

(585) 596-4011

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1003464801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 JOHNSON RD",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609701",
            "telephone_number": "716-790-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MAIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951150",
            "telephone_number": "585-596-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "KAITLYN",
        "middle_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cooneyk@jmhny.org",
            "affiliation": "N",
            "address_1": "191 N Main St",
            "city": "Wellsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148951150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashleigh Elizabeth Cline, COTA/L
• Christina E Cocca
• Sadie R Cole, RN
• Dennis Nathan Contreras
• Gary L Cook, OD
• Cynthia L. Costello, LPN
• Lauren P Costello, LMHC
• Heide Kathleen Crandall, MD
• Lisa Yvonne Crandall, LPN
• Sarah E Cronin, MSW

• Physical Therapist in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.