John Logan Cooper, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22573 Issued in MD

Practice address

5024 Dorsey Hall Dr
Ste 103
Ellicott City, MD 21042-7869

Phone

(410) 740-1047

Fax

(410) 740-2280

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Manual Therapy Specialists, LLCGroup PAC ID 7214027796, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Orthopaedic Manual Therapy Specialists, LLC

  • Orthopedic Physical Therapist
  • Germantown, MD
  • NPI 1699175711

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1053573782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR",
            "address_2": "STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR",
            "address_2": "STE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "410-740-1047",
            "fax_number": "410-740-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOHN",
        "middle_name": "LOGAN",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coogan Caregivers LLC (Homewatch CareGivers)
• Coogan Caregivers LLC
• Kristin Dawn Cook, D.D.S
• Catherine E Cooke, PHARMD
• William Cooke, PHARMD
• Sara Cooper, MS, CNS, LDN
• Megan Renee Copeland, RPH
• Julie Copley, OTR
• Chanda Carmela Corbett, PHD
• Samantha Cornelius

• Physical Therapist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.