Active NPI
Elizabeth Cooper, PT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1205115458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26484
- Practice address
- 6100 Kennerly Rd
Suite 201
Jacksonville, FL 32216-4368 - Phone
- (904) 636-5335
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT26484 | FL | Primary |
Addresses
Primary practice location
6100 Kennerly Rd
Suite 201
Jacksonville, FL 32216-4368
Mailing address
3425 Executive Pkwy
Suite 128
Toledo, OH 43606-1326
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 |
|---|---|---|---|
| PT26484 | FL | MD | Physical Therapist |
Practice roles (20 of 21)
Networks
- Freedom Health HMO Network
Organizations & group practices 20
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.
-
- Rehabilitation Clinic/Center
- New Smyrna Beach, FL
- NPI 1114026200
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1144320011
-
- Rehabilitation Clinic/Center
- St Johns, FL
- NPI 1184795957
-
- Rehabilitation Clinic/Center
- Callahan, FL
- NPI 1235718032
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1336769801
-
- Rehabilitation Clinic/Center
- Fleming Island, FL
- NPI 1366495533
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1407943160
-
- Rehabilitation Clinic/Center
- Fernandina Beach, FL
- NPI 1447203948
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1629178645
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1669571733
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1679673594
-
- Rehabilitation Clinic/Center
- Middleburg, FL
- NPI 1710930722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1205115458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 EXECUTIVE PKWY",
"address_2": "SUITE 128",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436061326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 KENNERLY RD",
"address_2": "SUITE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164368",
"telephone_number": "904-636-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT26484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.