Individual provider Active NPI

Bernice Lineth Ebanks Cooper

  • Physical Therapist
  • Hialeah, FL
National Provider Identifier
1346727245
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41382 Issued in FL
Practice address
1140 W 50TH St
Hialeah, FL 33012-3440
Phone
(305) 231-3371
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41382 FL Primary

Addresses

Primary practice location

1140 W 50TH St
Hialeah, FL 33012-3440

Mailing address

11618 SW 244TH St
Homestead, FL 33032-4046

Other practice location 1

6800 NW 169th St
Hialeah, FL 33015-4210
Phone (305) 231-3371

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41382FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Therapy Center Miami Lakes Physical Therapist Past Accepting new patients
Fluir Pediatric Therapy LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1346727245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 SW 244TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W 50TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123440",
            "telephone_number": "305-231-3371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 NW 169th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330154210",
            "country_code": "US",
            "telephone_number": "305-231-3371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBANKS COOPER",
        "first_name": "BERNICE",
        "middle_name": "LINETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "41382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.