Active NPI
Richard Brian Coogler, P.T., AT,C.
- Physical Therapist
- Metairie, LA
National Provider Identifier
1255449914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3901 Houma Blvd
Ste 300
Metairie, LA 70006-2930 - Phone
- (504) 885-0007
- Fax
- (504) 455-0605
- NPI assigned
- Aug 25, 2006
- Last updated
- Feb 11, 2010
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
3901 Houma Blvd
Ste 300
Metairie, LA 70006-2930
Mailing address
525 Phosphor Ave
Metairie, LA 70005-3233
Phone (504) 838-6061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00416R | Other | LA | LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1255449914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PHOSPHOR AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700053233",
"telephone_number": "504-838-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOUMA BLVD",
"address_2": "STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062930",
"telephone_number": "504-885-0007",
"fax_number": "504-455-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOGLER",
"first_name": "RICHARD",
"middle_name": "BRIAN",
"credential": "P.T., AT,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "00416R",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.