Jake Cooley, CAMTC, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

92617 Issued in CA

Practice address

3633 Marconi Ave
Sacramento, CA 95821-5309

Phone

(916) 402-2376

NPI assigned

Sep 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1134908197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 HANDEL WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264231",
            "telephone_number": "916-402-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215309",
            "telephone_number": "916-402-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JAKE",
        "credential": "CAMTC, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "92617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Cooke, MD
• Sawyer Matthew Cooke
• Sean M. Cooke, MD
• Makayla Cooks
• Bruce Alan Cooley, D.C.
• Kaylah Nikol Cooley, AMFT
• Kyleigh Cooley
• Leslie L Cooley, LPCC
• McKenzie Cooley
• Natalie Cooley, PT

• Massage Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.