Kaylee Rae Cooper, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012103 Issued in GA

Practice address

1453 Riverstone Pkwy
Ste 170
Canton, GA 30114-5626

Phone

(770) 704-0774

Fax

(770) 704-0779

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaylee Rae Seufert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495497600000",
    "number": "1306213640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 RIVERSTONE PKWY",
            "address_2": "STE 170",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145626",
            "telephone_number": "770-704-0774",
            "fax_number": "770-704-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KAYLEE",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2017-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "SEUFERT",
            "middle_name": "RAE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica A Cook, PTA
• Cooley Physical Therapy and Sports Performance LLC
• Caleb Cooley, PT, DPT
• Charles R Cooley, M.D.
• M Katherine Coolidge, LCSW
• Neal Anthony Coordes
• Danielle Elizabeth Corapi, PT
• Allison Renee' Cordts, LPC
• Core Medical LLC
• Shelli Cossel, LPC

• Physical Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.