Organization Active NPI

Cooper Fitness

  • Occupational Therapist
  • Newport Beach, CA
National Provider Identifier
1407212459
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8025 Issued in CA
Legal business name
COOPER FITNESS
Practice address
20122 Santa Ana Ave Apt 9C
Newport Beach, CA 92660-1360
Phone
(949) 784-9853
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Joshua Cooper
Title
Owner
Phone
(949) 784-9853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 8025 CA Primary

Addresses

Primary practice location

20122 Santa Ana Ave Apt 9C
Newport Beach, CA 92660-1360

Mailing address

20122 Santa Ana Ave Apt 9C
Newport Beach, CA 92660-1360
Phone (949) 784-9853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1407212459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE APT 9C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-784-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20122 SANTA ANA AVE APT 9C",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601360",
            "telephone_number": "949-784-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-784-9853"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.