Cope Aquatic Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

COPE AQUATIC THERAPY, LLC

Practice address

4242 Highway 19 Ste B-3
Zachary, LA 70791-3982

Phone

(225) 772-4677

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mario Johnson, MS, MST, MHP

Title

Ceo/Owner

Phone

(225) 772-4677

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1508377623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 HIGHWAY 19 STE B-3",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 HIGHWAY 19 STE B-3",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913982",
            "telephone_number": "225-772-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE AQUATIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "225-772-4677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MST, MHP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine A Cook, PT
• Cope Medical Group LLC
• Kathleen O'Hara Corbin, DDS
• Core Kinetics Physical Therapy, LLC
• Corereach Technologies and Consulting LLC
• Jenna Cornes, MSOT

• Physical Therapy Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.