Patrick J. Cooley, D.C., P.T.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006-0001110 Issued in VT

Practice address

71 Allen St
Suite 203
Rutland, VT 05701-4570

Phone

(802) 773-7700

Fax

(802) 773-7720

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patrick J. Cooley, D.C., P.T., P.C.Group PAC ID 3274568415, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick@ccrc0002.direct.chirotouch.md

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.

• Patrick J. Cooley, D.C., P.T., P.C.

  • Chiropractor
  • Rutland, VT
  • NPI 1831382183
  Medicare reassignment Care Compare group NPD Authorized official
• Advantage Physical Therapy and Human Performance

  • Physical Therapist
  • Center Rutland, VT
  • NPI 1588779888
  NPD (past)
• Vermont Physicians Clinic

  • Family Nurse Practitioner
  • Rutland, VT
  • NPI 1245366277
  NPD (past)
• University Physical Medicine and Rehabilitation Associates Inc.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1558300871
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1407890890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEN ST",
            "address_2": "SUITE 203",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-773-7700",
            "fax_number": "802-773-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 ALLEN ST",
            "address_2": "SUITE 203",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-773-7700",
            "fax_number": "802-773-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001110",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040-0003483",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4260800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PT",
            "identifier": "383814",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIREBLUECROSSBLUESHIELD",
            "identifier": "Q29P4",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10102836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIREBLUECROSSBLUESHIELD",
            "identifier": "X09C0",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PT INDIVIDUAL",
            "identifier": "00058751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL CHIRO",
            "identifier": "00058780",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLY STANADARDS ADM CHIR",
            "identifier": "610903200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLYMNT STANDRDS ADMN PT",
            "identifier": "610903300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIREBCBSCHIRO",
            "identifier": "X09C01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers of the Rutland Region, Inc.
• Clare Conner, APRN
• Courtney Lee Connolly, AU.D.
• Convenient Medical Care
• Matthew A Conway, MD
• Raymond J Cooley, D.C.
• Susan M Cooley, P.A.
• Laurie A Coombs, MSW, LCSW
• Seth G Coombs, MD
• Amy P Corey, PA

• All providers in Rutland, VT
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.