Lance Cooper, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5130 Issued in OR

Practice address

997 Patton LN
Ashland, OR 97520-9135

Phone

(541) 941-5170

Fax

(541) 878-8111

NPI assigned

Jan 16, 2007

Last updated

Apr 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Direct Physical Therapy, LLC

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  • NPI 1205109014
  Authorized official Same address or phone
• Jackson County Physical Therapy LLP

  • Physical Therapist
  • Medford, OR
  • NPI 1013112903
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1467503284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST STE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-5525",
            "fax_number": "541-708-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 PATTON LN",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975209135",
            "telephone_number": "541-941-5170",
            "fax_number": "541-878-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242029",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conachy & Chang Counseling Services, LLC
• Elizabeth M Conachy Chang, LPC
• Erik Hawkins Connolly, PCA
• Maria A Connolly, LPC
• Hannah Force Conry, DC
• Allen Cornish
• Counseling Associates of Southern Oregon LLC
• Desiree Elizabeth Coutinho
• Wendy J Crage, FNP
• Angela Marieli Cranor

• Physical Therapist in Ashland, OR
• Providers in Ashland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.