Organization Active NPI

Recooperation Physical Therapy Inc

  • Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1346534625
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECOOPERATION PHYSICAL THERAPY INC
Practice address
400 S Reino Rd
Suite 101
Thousand Oaks, CA 91320-4284
Phone
(805) 277-2233
Fax
(805) 277-0623
NPI assigned
Jun 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Authorized official

Name
Jeffrey W Cooper, PTNPI 1750317517
Title
President/Owner
Phone
(805) 277-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

400 S Reino Rd
Suite 101
Thousand Oaks, CA 91320-4284

Mailing address

400 S Reino Rd
Suite 101
Thousand Oaks, CA 91320-4284
Phone (805) 277-2233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110829000464 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981874096 Receives reassigned benefits from 5 practitioners
Practice locations: Newbury Park, CA

National Provider Directory

National Provider Directory

Locations

3165 Old Conejo Rd
Newbury Park, CA 91320
Phone (805) 277-2233

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307145600000",
    "number": "1346534625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S REINO RD",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913204284",
            "telephone_number": "805-277-2233",
            "fax_number": "805-277-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S REINO RD",
            "address_2": "SUITE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913204284",
            "telephone_number": "805-277-2233",
            "fax_number": "805-277-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOOPERATION PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "805-277-2233",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.