Shannon Nicole Cooley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28996 Issued in MD

Practice address

5223 Buckeystown Pike Ste 158
Frederick, MD 21704-7535

Phone

(301) 662-6790

NPI assigned

Jun 10, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nirschl Orthopaedic Center for Sportsmedicine and Joint ReconstructionGroup PAC ID 8729065420, 21 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.43 of 100Reported as group

Quality

85

Promoting interoperability

99

Improvement activities

40

Cost

73.92

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nirschl Orthopaedic Center for Sportsmedicine & Joint Reconstruction

  • Specialist
  • Arlington, VA
  • NPI 1053459149

  DC

  Medicare reassignment Care Compare group NPD
• Maryland Sportscare & Rehab LLC

  dba Pivot Physical Therapy of Maryland

  • Physical Therapist
  • Westminster, MD
  • NPI 1518951995

  DC

  Medicare reassignment

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1437888724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9124 CHARTERHOUSE RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047327",
            "telephone_number": "240-446-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5223 BUCKEYSTOWN PIKE STE 158",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047535",
            "telephone_number": "301-662-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305215071",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Laura Conyea, PHARM. D.
• Amanda Cook, LCPC
• Ariana Elizabeth Cook, LCPC-S
• Hannah Rose Cook, PT, DPT
• Allison L Cooley, OTR/L
• Umu Coomber, ARNP-PMHNP-BC
• Elizabeth Coonan
• Tina Coop
• Arden Lee Cooper, FNP-BC
• Emily Nadine Cooper, FNP

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.