Individual provider Active NPI

Courtney Lynn Cooley, PT

  • Physical Therapist
  • Pasadena, MD
National Provider Identifier
1437542008
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25412 Issued in MD
Practice address
8116 Ritchie Hwy
Pasadena, MD 21122-6916
Phone
(443) 261-2220
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25412 MD Primary

Addresses

Primary practice location

8116 Ritchie Hwy
Pasadena, MD 21122-6916

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other names 1

  • Courtney Gass Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150326001908 MD Practitioner - Physical Therapist in Private Practice 5395062541 Reassigns benefits to 2 organizations
I20190819001448 DC Practitioner - Physical Therapist in Private Practice 5395062541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

52 Rising Sun Town Ctr
Rising Sun, MD 21911-1902
Phone (410) 658-0100

6842 Race Track Rd B
Bowie, MD 20715-3011
Phone (240) 544-0200

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25412MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 17, 2015 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 17, 2015 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients
Ati Holdings, LLC Past Accepting new patients

Locations (25 of 27)

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2327 Forest Dr
Ste D
Annapolis, MD 21401
Phone (443) 782-7243

6500 Eastern Ave
Ste E
Baltimore, MD 21224
Phone (410) 633-3670

7624 Belair Rd
Baltimore, MD 21236
Phone (667) 219-2169

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

3420 Crain Hwy
Unit 3410
Bowie, MD 20716
Phone (240) 206-7941

15630 Old Columbia Pike
Ste F
Burtonsville, MD 20866
Phone (240) 559-5270

836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 514-0560

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

6030 Daybreak Cir
Ste 115
Clarksville, MD 21029
Phone (667) 786-7977

6476 Dobbin Center Way
Ste 450
Columbia, MD 21045
Phone (410) 910-3242

1401 Merritt Blvd
Ste D
Dundalk, MD 21222
Phone (443) 530-9750

117 Orville Rd
Essex, MD 21221
Phone (410) 668-2270

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2389 Brandermill Blvd
Ste 103
Gambrills, MD 21054
Phone (410) 774-9821

2645 Annapolis Rd
Ste B
Hanover, MD 21076
Phone (443) 351-2063

14190 Baltimore Ave
Ste B
Laurel, MD 20707
Phone (240) 542-5924

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

2 Park Center Ct
Ste 200
Owings Mills, MD 21117
Phone (240) 545-0507

8116 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 261-2220

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

511 Main St
Reisterstown, MD 21136
Phone (410) 526-5307

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

580 Ritchie Hwy
Ste E
Severna Park, MD 21146
Phone (410) 544-7417

Organizations & group practices 4

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1437542008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226916",
            "telephone_number": "443-261-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GASS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.