Organization Active NPI

Cooper Rehabilitation & Sports Therapy, PC

  • Physical Therapist
  • Red Bank, NJ
National Provider Identifier
1194710921
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
QA04695 Issued in NJ
Legal business name
COOPER REHABILITATION & SPORTS THERAPY, PC
Practice address
315 Highway 35
Red Bank, NJ 07701-5913
Phone
(732) 224-9355
Fax
(732) 224-1317
NPI assigned
Sep 19, 2005
Last updated
Mar 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Authorized official

Name
Mr. Brad A CooperNPI 1437223724
Title
Physical Therapist
Phone
(732) 224-9355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA04695 NJ Primary

Addresses

Primary practice location

315 Highway 35
Red Bank, NJ 07701-5913

Mailing address

315 Highway 35
Red Bank, NJ 07701-5913
Phone (732) 224-9355

National Provider Directory

National Provider Directory

Locations

315 State Route 35
Red Bank, NJ 07701
Phone (732) 224-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1194710921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015913",
            "telephone_number": "732-224-9355",
            "fax_number": "732-224-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HIGHWAY 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015913",
            "telephone_number": "732-224-9355",
            "fax_number": "732-224-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER REHABILITATION & SPORTS THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "732-224-9355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA04695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.