Active NPI
Christine Anne Cruz-Cooper, RPT
- Pediatric Physical Therapist
- Dade City, FL
National Provider Identifier
1407928666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT 4040
- Practice address
- 38051 Pasco Ave
Dade City, FL 33525-4234 - Phone
- (727) 848-6747
- Fax
- (727) 847-3107
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT 4040 | FL | Primary |
Addresses
Primary practice location
38051 Pasco Ave
Dade City, FL 33525-4234
Mailing address
PO Box 1502
6646 U.S. Hwy 19
New Port Richey, FL 34656-1502
Phone (727) 848-6747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y5110 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 070012601 | Medicaid | FL |
Other names 1
- Miss Christine Anne Cooper
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 4040 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welch & McLoy Pediatric Clinic, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Dade City, FL
- NPI 1396812442
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407928666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1502",
"address_2": "6646 U.S. HWY 19",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346561502",
"telephone_number": "727-848-6747",
"fax_number": "727-847-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38051 PASCO AVE",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335254234",
"telephone_number": "727-848-6747",
"fax_number": "727-847-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-COOPER",
"first_name": "CHRISTINE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT 4040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "Y5110",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "070012601",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "COOPER",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.