Renea Johnson Cooper, L.P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001592 Issued in VA

Practice address

1220 W Gretna Rd
Gretna, VA 24557-4087

Phone

(434) 656-8535

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215150768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 THISTLE RD",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "245884558",
            "telephone_number": "434-332-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W GRETNA RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574087",
            "telephone_number": "434-656-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RENEA",
        "middle_name": "JOHNSON",
        "credential": "L.P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centra Medical Group, LLC (Centra Health Medical Center-Gretna RHC)
• Centra Medical Group, LLC (CMG Gretna Pulmonology Center)
• Centra Pace- Gretna
• Joseph Chambers
• Ronnie Coles
• Jacqulin Coston
• Bryan Keith Dalton, PHARMD
• William Brandon Dalton, PHARMD
• Danville Physician Practices LLC (Sovah Family Medicine - Gretna)
• Danville Physician Practices, LLC (Family Healthcare Centers of Gretna)

• Physical Therapy Assistant in Gretna, VA
• Providers in Gretna, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.