Kathleen Ann Cooper, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA06949 Issued in OH

Practice address

38398 Humphrey Cir
North Ridgeville, OH 44039-9705

Phone

(216) 210-5860

NPI assigned

Dec 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1265700306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38398 HUMPHREY CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440399705",
            "telephone_number": "216-210-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38398 HUMPHREY CIR",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440399705",
            "telephone_number": "216-210-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA06949",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "9586A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lisa Clark, LISW, LICDC
• Kimberley M Clough
• Conversations for Change Counseling Services, Inc.
• Kathleen Cook, BCBA
• Karen Cooney, OTR/L
• Yalesia Nicole Cooper, LPN
• James Cordaro
• Gregory B Cortese, NP-C
• Angela Coyle, LPCC-S
• Kimberly Thurza Cromer

• Physical Therapy Assistant in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.