Individual provider Active NPI

Michelle Lea Cooney, PT

  • Physical Therapist
  • Auburn, NY
National Provider Identifier
1427201029
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0113231 Issued in NY
Practice address
419 Wide Waters LN
Auburn, NY 13021-8675
Phone
(315) 209-7218
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X 0113231 NY
Geriatric Physical Therapist 2251G0304X 0113231 NY
Pediatric Physical Therapist 2251P0200X 0113231 NY
Physical Therapist 225100000X 0113231 NY Primary

Addresses

Primary practice location

419 Wide Waters LN
Auburn, NY 13021-8675

Mailing address

419 Wide Waters LN
Auburn, NY 13021-8675
Phone (315) 209-7218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000321 NY Practitioner - Physical Therapist in Private Practice 3072796275 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0113231NYMDPediatric Neurodevelopmental Disabilities Physician
011323NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Association of Cayuga County, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Presence Psychology, LMSW, PT, OT and SLP Services, PLLC Physical Therapist CurrentSince Aug 30, 2019 Accepting new patients
Presence Sealy Counseling and Development Licensedclinicalservicespllc CurrentSince Aug 30, 2019 Accepting new patients

Locations

182 North St
Auburn, NY 13021
Phone (315) 255-2746

115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1427201029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WIDE WATERS LN",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218675",
            "telephone_number": "315-209-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WIDE WATERS LN",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130218675",
            "telephone_number": "315-209-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NY",
            "license": "0113231",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "0113231",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "0113231",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0113231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.