Active NPI
Anna Marie Fatima Cootauco
- Physical Therapist
- Pompano Beach, FL
National Provider Identifier
1124476031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1274576
- Practice address
- 1359 E Sample Rd
Pompano Beach, FL 33064-6278 - Phone
- (954) 785-8252
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1274576 | TX | Primary |
Addresses
Primary practice location
1359 E Sample Rd
Pompano Beach, FL 33064-6278
Mailing address
5800 W Sample Rd
Apt 206
Coral Springs, FL 33067-3238
Phone (954) 344-4145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 Windhaven Pkwy
Plano, TX 75024-0442
Phone (214) 355-3800
963 W Yellowjacket LN
Rockwall, TX 75087-4950
Phone (972) 722-7925
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Physical Therapist | Current | Accepting new patients |
| Norman Physical Therapy Limited | Past | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 4
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.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
- Physical Therapist
- Plano, TX
- NPI 1639912728
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapy Clinic/Center
- Norman, OK
- NPI 1982715249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464739200000",
"number": "1124476031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 W SAMPLE RD",
"address_2": "APT 206",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330673238",
"telephone_number": "954-344-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 E SAMPLE RD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330646278",
"telephone_number": "954-785-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOTAUCO",
"first_name": "ANNA MARIE FATIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1274576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.