Kerry Cooley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008084 Issued in GA

Practice address

6342 Grand Hickory Dr Ste 102
Braselton, GA 30517-4069

Phone

(770) 967-2177

Fax

(770) 967-2014

NPI assigned

Jun 11, 2006

Last updated

Feb 1, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment Care Compare group
• Active Care Physical Therapy, Inc.

  • Physical Therapist
  • Braselton, GA
  • NPI 1033256862
  NPD (past) Authorized official
• Advantage Rehab & Fitness, Inc

  • Physical Therapist
  • Marathon, FL
  • NPI 1851428643
  NPD (past)
• Angela Acevedo MD PA

  • Internal Medicine Physician
  • Crystal River, FL
  • NPI 1861677247
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1073555637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 GRAND HICKORY DR STE 102",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305174069",
            "telephone_number": "770-967-2177",
            "fax_number": "770-967-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 GRAND HICKORY DR STE 102",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305174069",
            "telephone_number": "770-967-2177",
            "fax_number": "770-967-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "KERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52010165-007",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley Canupp Colluro, LPC
• Lindsey Rae Coltraine, LMFT
• Commerce Spinal Center, PC (Braselton Chiropractic Center)
• Tram B Contreras, PA
• Melissa Cook
• David Cooney, D.M.D.
• Jennifer Copper, FNP-C
• Ashley Corbett
• Cornerstone Surgery of Braselton, PC
• Marisol Paz Coughlin, FNP-C

• Physical Therapist in Braselton, GA
• Providers in Braselton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.