Individual provider Active NPI

Jacqueline Cooper, RPT

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1275575763
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008297 Issued in GA
Practice address
1750 Founders Pkwy
130
Alpharetta, GA 30009-7602
Phone
(678) 624-9117
Fax
(678) 624-0747
NPI assigned
Jun 11, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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 PT008297 GA Primary

Addresses

Primary practice location

1750 Founders Pkwy
130
Alpharetta, GA 30009-7602

Mailing address

1750 Founders Pkwy
130
Alpharetta, GA 30009-7602
Phone (678) 624-9117

Other names 1

  • Jacqueline Seibert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000365 GA Practitioner - Physical Therapist in Private Practice 5597795971 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

Practice addresses (Care Compare)

855 N Point Pkwy
Alpharetta, GA 30005-4125
Phone (404) 846-0899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008297GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince Aug 1, 2018 Accepting new patients
Immanuels Word Inc CurrentSince Feb 15, 2005 Accepting new patients
Life Clinic of Ga PC Physical Therapist CurrentSince Feb 7, 2022 Accepting new patients

Locations

1750 Founders Pkwy
Ste 130
Alpharetta, GA 30009
Phone (678) 624-9117

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

915 Hawthorne Ave
Athens, GA 30606

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
Phone (770) 443-4483

1810 Peachtree Pkwy
Ste 103
Cumming, GA 30041
Phone (678) 624-9117

201 Aquatic Cir
Cumming, GA 30040

1200 Wellstar Way
Holly Springs, GA 30114

11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800

1823 N Brown Rd
Lawrenceville, GA 30043

4220 Lower Roswell Rd
Marietta, GA 30068
Phone (678) 946-4454

200 Dobbs Dr
Roswell, GA 30075

14200 Highway 92
Woodstock, GA 30188
Phone (677) 819-7658

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1275575763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY",
            "address_2": "130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097602",
            "telephone_number": "678-624-9117",
            "fax_number": "678-624-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY",
            "address_2": "130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097602",
            "telephone_number": "678-624-9117",
            "fax_number": "678-624-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SEIBERT",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.