Active NPI
Lisa Beth Cooper, PTA
- Physical Therapy Assistant
- East Falmouth, MA
National Provider Identifier
1417147232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 7937
- Practice address
- 721 E Falmouth Hwy
East Falmouth, MA 02536-6191 - Phone
- (508) 540-7609
- Fax
- (508) 540-7539
- NPI assigned
- Jul 27, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7937 | MA | Primary |
Addresses
Primary practice location
721 E Falmouth Hwy
East Falmouth, MA 02536-6191
Mailing address
140 Captain Samadrus Rd
Cotuit, MA 02635-2709
Phone (508) 428-9414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7937 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185494400000",
"number": "1417147232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CAPTAIN SAMADRUS RD",
"city": "COTUIT",
"state": "MA",
"postal_code": "026352709",
"telephone_number": "508-428-9414",
"fax_number": "508-428-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 E FALMOUTH HWY",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "025366191",
"telephone_number": "508-540-7609",
"fax_number": "508-540-7539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "LISA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "7937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.