Active NPI
Joseph Cooper III
- Orthopedic Physical Therapist
- Yorktown, VA
National Provider Identifier
1124709720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2306605878
- Practice address
- 250 Josephs Dr
Yorktown, VA 23693-3405 - Phone
- (757) 272-0300
- NPI assigned
- Jul 26, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2306605878 | VA | Primary |
Addresses
Primary practice location
250 Josephs Dr
Yorktown, VA 23693-3405
Mailing address
217 Thoreau Cir Apt G
Yorktown, VA 23693-4915
Phone (757) 771-5226
Other practice location 1
250 Josephs Dr
Yorktown, VA 23693-3405
Phone (757) 272-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306605878 | VA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1124709720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 THOREAU CIR APT G",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236934915",
"telephone_number": "757-771-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 JOSEPHS DR",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236933405",
"telephone_number": "757-272-0300"
}
],
"practiceLocations": [
{
"address_1": "250 Josephs Dr",
"address_purpose": "LOCATION",
"city": "Yorktown",
"state": "VA",
"postal_code": "236933405",
"country_code": "US",
"telephone_number": "757-272-0300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2306605878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.