Individual provider Active NPI

Joseph Cooper III

  • Orthopedic Physical Therapist
  • Yorktown, VA
National Provider Identifier
1124709720
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2306605878 Issued in VA
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

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2306605878VAMDOrthopedic 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.

Verify at the official NPI Registry.