Active NPI
Kaele R Cooper, PT, DPT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1467091777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31155
- Practice address
- 4175 S. Alamo Ave
Tucson, AZ 85707 - Phone
- (520) 228-2778
- Fax
- (520) 228-0031
- NPI assigned
- Jan 3, 2020
- 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 Therapist | 225100000X | LPT-31155 | AZ | Primary |
Addresses
Primary practice location
4175 S. Alamo Ave
Tucson, AZ 85707
Mailing address
4175 S. Alamo Ave
Tucson, AZ 85707
Phone (520) 228-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4423 | Medicaid | AZ |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1467091777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2778",
"fax_number": "520-228-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85707",
"telephone_number": "520-228-2778",
"fax_number": "520-228-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KAELE",
"middle_name": "R",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-03",
"last_updated": "2022-02-04",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4423",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.