Kipp M Cooper PT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KIPP M COOPER PT PLLC

Practice address

26 Conkey Ave
Norwich, NY 13815-1756

Phone

(607) 334-5074

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Kipp Martin Cooper, PTNPI 1548333446

Title

Owner

Phone

(607) 334-5074

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kipp Martin Cooper, P.T.

  • Physical Therapist
  • Norwich, NY
  • NPI 1548333446
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1346452265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CONKEY AVE",
            "address_2": "P O BOX 148",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151756",
            "telephone_number": "607-334-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CONKEY AVE",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151756",
            "telephone_number": "607-334-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIPP M COOPER PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "KIPP",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-334-5074",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUSBLUECROSSBLUESHIE",
            "identifier": "00007823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gretchen Edith Keister, LCSW-R
• Jenna Kent
• Jody M Kenyon, LCSW
• Salsabeel Saho Khazaleh, DPT
• Pamela Kinney
• Jane E Kirkman
• Mary Zaengle Klockowski, RN
• Debra Ann Kman, LCSW
• Sandra L Knuth, RN
• Albert Bruen Kochersperger, MD

• Physical Therapist in Norwich, NY
• Providers in Norwich, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.