Individual provider Active NPI

Rachel E Cooper

  • Physical Therapist
  • Staunton, VA
National Provider Identifier
1245730993
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14093-24 Issued in WI
Practice address
542 Walnut Hills Rd
Staunton, VA 24401-6935
Phone
(540) 337-1999
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14093-24 WI Primary

Addresses

Primary practice location

542 Walnut Hills Rd
Staunton, VA 24401-6935

Mailing address

301 Fisher St
Biloxi, MS 39534-2508
Phone (228) 376-0446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190506001789 WI Practitioner - Physical Therapist in Private Practice 7012259427 Reassigns benefits to 1 organization
I20230713000387 VA Practitioner - Physical Therapist in Private Practice 7012259427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Ease Physical Therapy CentreGroup PAC ID 4880647114, 2 clinicians

Practice addresses (Care Compare)

542 Walnut Hills Rd
Staunton, VA 24401-6935
Phone (540) 337-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14093-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Ease Physical Therapy Centre Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Fresh Start Physical Therapy LLC Physical Therapist CurrentSince Apr 8, 2019 Accepting new patients

Locations

542 Walnut Hills Rd
Staunton, VA 24401
Phone (540) 337-1999

N112W16282 Mequon Rd
Germantown, WI 53022
Phone (262) 236-0176

7602 W Mequon Rd
Mequon, WI 53097
Phone (262) 236-0176

10412 N Baehr Rd
Mequon, WI 53092
Phone (262) 236-0176

6028 W Mequon Rd
Ste 100
Mequon, WI 53092
Phone (262) 236-0176

6028 W Mequon Rd
#100
Mequon, WI 53092
Phone (262) 236-0176

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1245730993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 WALNUT HILLS RD",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244016935",
            "telephone_number": "540-337-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "RACHEL",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14093-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.