Organization Active NPI

Cooper Rehabilitation Consulting PLLC

  • Physical Medicine & Rehabilitation Physician
  • McDonough, GA
National Provider Identifier
1396524070
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COOPER REHABILITATION CONSULTING PLLC
Practice address
2200 Patrick Henry Pkwy
McDonough, GA 30253-4207
Phone
(678) 620-8035
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Anthony L Cooper Jr., DONPI 1912434986
Title
Managing Member
Phone
(602) 844-4855

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2200 Patrick Henry Pkwy
McDonough, GA 30253-4207

Mailing address

5829 Campbellton Rd SW Ste 104-200
South Fulton, GA 30331-8037
Phone (602) 844-4855

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106001302 GA Part B Supplier - Clinic/Group Practice 5597112011 Receives reassigned benefits from 1 practitioner
Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Locations

5829 Campbellton Rd SW
Ste 104
South Fulton, GA 30331
Phone (646) 450-7355

5829 Campbellton Rd SW
Ste 104200
South Fulton, GA 30331

Practitioners & affiliated clinicians

Practitioners 1

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": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1396524070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 CAMPBELLTON RD SW STE 104-200",
            "city": "SOUTH FULTON",
            "state": "GA",
            "postal_code": "303318037",
            "telephone_number": "602-844-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PATRICK HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534207",
            "telephone_number": "678-620-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER REHABILITATION CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-844-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.