Beth Cooper, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02243900 Issued in NJ

Practice address

511 Goffle Rd Ste 203
Wyckoff, NJ 07481-2926

Phone

(201) 899-1166

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back to Health Physical Therapy Associates PAGroup PAC ID 1456361302, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Back to Health Physical Therapy Associates, P.a.

  • Physical Therapist
  • Teaneck, NJ
  • NPI 1174712178
  Medicare reassignment Care Compare group NPD
• Metro Physical Therapy LLC

  • Physical Therapist
  • Garden City, NY
  • NPI 1144028796

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1467210625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SURREY LN",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213354",
            "telephone_number": "516-404-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 GOFFLE RD STE 203",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812926",
            "telephone_number": "201-899-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02243900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Jernee LLC (Balance Chiropractic)
• Stephanie Cimmino, LMT
• Hayley Clarke
• Cognosis (Cognosis Health)
• Community Distributors, Inc. (Drug Fair of Wyckoff)
• Rise Jayne Cooper, PT
• Sonata Faith Cooper, M.D.
• Gregory Anthony Costello, MD
• Susan Renee Creech, LCSW
• Courtney Nicole Crowley

• Physical Therapist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.