Active NPI
Brianna Victoria Cooper, DPT
- Physical Therapist
- Sauk Centre, MN
National Provider Identifier
1346939030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10652
- Practice address
- 308 Oak St S Ste 101
Sauk Centre, MN 56378-1565 - Phone
- (320) 351-4075
- Fax
- (320) 247-6767
- NPI assigned
- May 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 10652 | MN | Primary |
Addresses
Primary practice location
308 Oak St S Ste 101
Sauk Centre, MN 56378-1565
Mailing address
540 Morningside Ave
Paynesville, MN 56362-1715
Phone (320) 241-0160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Mayo Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
308 Oak St S
Suite 101
Sauk Centre, MN 56378-1565
Phone (320) 293-3724
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10652 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centre Rehab PC | Physical Therapist | Current | Accepting new patients |
Locations
308 Oak St S
Ste 101
Sauk Centre, MN 56378
Phone (320) 293-3724
Organizations & group practices 1
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": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1346939030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 MORNINGSIDE AVE",
"city": "PAYNESVILLE",
"state": "MN",
"postal_code": "563621715",
"telephone_number": "320-241-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 OAK ST S STE 101",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563781565",
"telephone_number": "320-351-4075",
"fax_number": "320-247-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BRIANNA",
"middle_name": "VICTORIA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "10652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sauk Centre, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.