Active NPI
Amy Rosen Cooper, PT
- Physical Therapist
- Boca Raton, FL
National Provider Identifier
1306028972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18956
- Practice address
- 2900 N Military TRL
Suite 232
Boca Raton, FL 33431-6365 - Phone
- (561) 995-4066
- Fax
- (561) 997-1605
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- 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 | 18956 | FL | Primary |
Addresses
Primary practice location
2900 N Military TRL
Suite 232
Boca Raton, FL 33431-6365
Mailing address
12549 Colony Preserve Dr
Boynton Beach, FL 33436-5820
Phone (954) 798-2122
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18956 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1306028972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12549 COLONY PRESERVE DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334365820",
"telephone_number": "954-798-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N MILITARY TRL",
"address_2": "SUITE 232",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316365",
"telephone_number": "561-995-4066",
"fax_number": "561-997-1605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "AMY",
"middle_name": "ROSEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2024-02-23",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "18956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.