Andrea L Cooper, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013406 Issued in OH

Practice address

1002 Rainbow CT
Fairborn, OH 45324-6365

Phone

(800) 824-9861

Fax

(937) 438-8630

NPI assigned

Sep 29, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Associates of SW Ohio IncGroup PAC ID 9638258874, 59 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 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.

• Orthopedic Associates of SW Ohio, Inc

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1447422118
  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  • Physical Therapist
  • Beavercreek, OH
  • NPI 1952348419
  Medicare reassignment Care Compare group
• Orthopedic Associates of S W Ohio Inc,

  • Orthopaedic Surgery Physician
  • Fairborn, OH
  • NPI 1609387984
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1477225423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 CENTERVILLE BUSINESS PKWY STE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454592695",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 RAINBOW CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246365",
            "telephone_number": "800-824-9861",
            "fax_number": "937-438-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464979",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Collins
• Rian Coman
• Christy Lynn Combs, CDCA
• Community/Physicians Dialysis Center Fairborn, Limited
• Jordan Congleton, PTA
• Autumn Cooper
• Kewin Cooper
• Stephanie Cooper
• Whitney Cottingham
• Leeanne Escobedo Cottle, PT, DPT

• Physical Therapist in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.