Individual provider Active NPI

Cathy G Cooper, PT

  • Physical Therapist
  • Forest, MS
National Provider Identifier
1053567636
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4352 Issued in MS
Practice address
813 West 3Rd Street
Forest, MS 39074
Phone
(601) 469-1001
Fax
(601) 469-1009
NPI assigned
Aug 14, 2008
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4352 MS Primary

Addresses

Primary practice location

813 West 3Rd Street
Forest, MS 39074

Mailing address

813 W Third St
Forest, MS 39074-4006
Phone (601) 469-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000272 MS Practitioner - Physical Therapist in Private Practice 9234314980 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2039 Hwy 35 S
Forest, MS 39074-7973
Phone (601) 917-0284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4352MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Small Town Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Dpti Elite Physical Therapy LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Performance Therapy LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist CurrentSince Jan 30, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Past Accepting new patients
Medicomp, Inc Physical Therapist Past Accepting new patients
Medicomp, Inc Physical Therapist PastSince Mar 15, 2011 Accepting new patients
Medicomp, Inc Physical Therapist PastSince Nov 15, 2011 Accepting new patients
Dura-Quip Medical Equipment Inc. Past Accepting new patients
Drayer Physical Therapy Mississippi LLC Physical Therapist Past Accepting new patients
Medicomp, Inc. Physical Therapist Past Accepting new patients
Ridgeland Sports Medicine & Rehab, Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2015 Highpointe Dr
Brandon, MS 39042
Phone (601) 724-7310

199 N Brookmoore Dr
Columbus, MS 39705
Phone (662) 798-0108

117 Bo Bo Dr
Crystal Springs, MS 39059
Phone (601) 892-6330

2039 Highway 35 S
Forest, MS 39074
Phone (601) 469-3814

2039 Highway 35 S
Stop 39074
Forest, MS 39074

237 N Woodland Dr
Forest, MS 39074
Phone (601) 564-8750

1058 Holland Ave
Philadelphia, MS 39350
Phone (601) 650-0002

921 W Beacon St
Philadelphia, MS 39350
Phone (601) 650-0002

950 E County Line Rd
Ste E
Ridgeland, MS 39157
Phone (601) 853-8747

2319 Highway 145
Saltillo, MS 38866
Phone (662) 869-9980

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1053567636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W THIRD ST",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390744006",
            "telephone_number": "601-469-1001",
            "fax_number": "601-469-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 WEST 3RD STREET",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "39074",
            "telephone_number": "601-469-1001",
            "fax_number": "601-469-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CATHY",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.