Individual provider Active NPI

Anna Marie Fatima Cootauco

  • Physical Therapist
  • Pompano Beach, FL
National Provider Identifier
1124476031
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1274576 Issued in TX
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

Updated by the provider on Jun 1, 2016

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 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

Enrollment IDStateProvider typePAC IDDetails
I20170322002586 TX Practitioner - Physical Therapist in Private Practice 5890070411 Reassigns benefits to 1 organization

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
The Outlook at Windhaven Forefront LivingGroup PAC ID 6204357353, 8 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

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

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Legacy Healthcare Services Inc. Physical Therapist CurrentSince Oct 27, 2025 Accepting new patients
Norman Physical Therapy Limited PastSince Feb 6, 2017 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.

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.

Verify at the official NPI Registry.