Zach Cooper

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070026914 Issued in IL

Practice address

845 N Michigan Ave Ste 973W
Chicago, IL 60611-2218

Phone

(312) 651-6255

NPI assigned

Aug 2, 2014

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution PTWL LLCGroup PAC ID 7719115617, 42 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.

• Revolution PTWL LLC

  dba Revolution Physical Therapy Weight Loss

  • Physical Therapist
  • Chicago, IL
  • NPI 1164766606
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1558770685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 973W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112218",
            "telephone_number": "312-651-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MICHIGAN AVE STE 973W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112218",
            "telephone_number": "312-651-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Wells St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606061301",
            "country_code": "US",
            "telephone_number": "312-957-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ZACH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-02",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070026914",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.016384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zcooper@revolutionptwl.com",
            "affiliation": "Y",
            "endpointDescription": "Clinical Email",
            "affiliationName": "REVOLUTION PTWL LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "845 N Michigan Ave Ste 973W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tina Cooper, LCSW, CADC
• Tracy Cooper, OTR/L
• Tracy L Cooper, MSW, LCSW, EI-IMH
• Valerie Cooper, PA-C
• Wayne Elliot Cooper, D.P.M.
• Suzanne K. Cooperman, M.D.
• Jennifer Helen Cooperrider, MD
• Carley Kimberly Coopwood, MD
• Shaurice Coopwood
• Jessica Grace Coors, LCPC

• Orthopedic Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.