Ryan Edward Cooley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020037919 Issued in MO

Practice address

13314 Manchester Rd
Des Peres, MO 63131-1709

Phone

(314) 775-0183

NPI assigned

Apr 5, 2021

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Omni Physical Therapy, LLC

  • Physical Therapist
  • Des Peres, MO
  • NPI 1184877672

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1285213660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13314 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311709",
            "telephone_number": "314-775-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13314 MANCHESTER RD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631311709",
            "telephone_number": "314-775-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020037919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chesterfield Counseling and Training Associates Inc.
• City of Des Peres
• Clarkson Optometry Inc
• Anthony John Colaneri, D.C.
• Kenyatta Cole
• Izaak Coscia, LMT
• Nicholas Austin Crabill, PHARMD
• Kathryn Elizabeth Cross, DPT
• Kelsey Cunningham, ATC
• Tawniece Marie Curry, DNP

• All providers in Des Peres, MO
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.