Whitney Nicole Cooper, DPT
Individual provider Active NPI Physical Therapist · Lindale, TX
NPI 1396168530 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1396168530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1233476 (TX)
- Practice address
- 3222 S Main St Ste 140
Lindale, TX 75771-7879 - Phone
- (903) 883-6450
- Fax
- (903) 717-3145
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Physical Therapy, LLC
Practice addresses (Care Compare)
3222 S Main St
Suite 140
Lindale, TX 75771-7879
Phone (903) 883-6450
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161201001762 | TX | Practitioner - Physical Therapist in Private Practice | 5092095463 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1233476 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Peak Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390
3222 S Main St
Ste 140
Lindale, TX 75771
Phone (903) 883-6450
200 Beauchamp
Ste 112
Princeton, TX 75407
Phone (469) 378-3464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1233476 | TX | Yes |
Addresses
Primary practice location
3222 S Main St Ste 140
Lindale, TX 75771-7879
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492
Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.