Michael A Cooper, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0112339 Issued in VT

Practice address

789 Pine St
Burlington, VT 05401-4933

Phone

(802) 264-1052

Fax

(802) 264-1053

NPI assigned

Aug 6, 2015

Last updated

Aug 7, 2015By 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

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addison County Home Healthand Hospice, IncGroup PAC ID 4587983374, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Addison County Home Health& Hospice, Inc.

  • Physical Therapist
  • New Haven, VT
  • NPI 1609648146
  Medicare reassignment Care Compare group NPD
• All Seasons Physical Therapy Consultants Inc

  dba Long Trail Physical Therapy

  • Physical Therapist
  • Burlington, VT
  • NPI 1770651523
  Medicare reassignment

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1528444056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 MARSETT RD",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054826637",
            "telephone_number": "515-571-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014933",
            "telephone_number": "802-264-1052",
            "fax_number": "802-264-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0112339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Cook, M.D.
• Hannah Kristy Cook, MD
• Nancy Elizabeth Cook, LICSW
• Emily Cooke
• Amy Diane Cooper, M.A.
• Charles Joseph Corbally, LICSW
• Kayla Dare Corbett
• Cara Corcoran
• Laura Catherine Cornell
• Cornerstone Caregiving East LLC

• Physical Therapist in Burlington, VT
• Providers in Burlington, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.