Active NPI
Marla Jean Cooper, LMT
- Mechanotherapist
- Las Cruces, NM
National Provider Identifier
1497006290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 5230
- Practice address
- 3961 E Lohman Ave Ste 34
Las Cruces, NM 88011-8269 - Phone
- (575) 525-9960
- NPI assigned
- Sep 20, 2012
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 5230 | NM | Primary |
Addresses
Primary practice location
3961 E Lohman Ave Ste 34
Las Cruces, NM 88011-8269
Mailing address
1605 S Telshor Blvd
#B
Las Cruces, NM 88011-4861
Phone (575) 642-1292
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5230 | NM | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1497006290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 S TELSHOR BLVD",
"address_2": "#B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114861",
"telephone_number": "575-642-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 E LOHMAN AVE STE 34",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118269",
"telephone_number": "575-525-9960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MARLA",
"middle_name": "JEAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "NM",
"license": "5230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.