Active NPI
Cassy M Cooley, DPT
- Physical Therapist
- Edgerton, WI
National Provider Identifier
1376860064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11250-24
- Practice address
- 313 Stoughton Rd
Edgerton, WI 53534-1132 - Phone
- (608) 884-1390
- Fax
- (608) 884-1393
- NPI assigned
- Apr 21, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 11250-24 | WI | Primary |
Addresses
Primary practice location
313 Stoughton Rd
Edgerton, WI 53534-1132
Mailing address
3101 Waucheeta TRL
Madison, WI 53711-5989
Phone (608) 222-3688
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11250-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1376860064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 WAUCHEETA TRL",
"city": "MADISON",
"state": "WI",
"postal_code": "537115989",
"telephone_number": "608-222-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 STOUGHTON RD",
"city": "EDGERTON",
"state": "WI",
"postal_code": "535341132",
"telephone_number": "608-884-1390",
"fax_number": "608-884-1393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "CASSY",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-21",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11250-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgerton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.