Individual provider Active NPI

Carly Elise Cooper, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1568937241
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18000 Issued in NC
Practice address
8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546
Phone
(919) 870-4444
Fax
(919) 870-4447
NPI assigned
Oct 9, 2018
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P18000 NC Primary

Addresses

Primary practice location

8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546

Mailing address

8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546
Phone (919) 870-4444

Other practice location 1

981 High House Rd Ste 100
Cary, NC 27513-3510
Phone (919) 388-0111

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P18000NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sword Health Care Providers of NJ, P.C. Physical Therapist Current Accepting new patients
Sword Health Care Providers PA Physical Therapist Current Accepting new patients
Sword Health Care Physical Therapy Providers of Ca, P.C. Physical Therapist Current Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Mar 11, 2019 Accepting new patients
Aquatic Physical Therapy & Beyond, LLC Physical Therapist PastSince Jun 1, 2004 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1568937241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 FALLS OF NEUSE RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153546",
            "telephone_number": "919-870-4444",
            "fax_number": "919-870-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 FALLS OF NEUSE RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153546",
            "telephone_number": "919-870-4444",
            "fax_number": "919-870-4447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 High House Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275133510",
            "country_code": "US",
            "telephone_number": "919-388-0111",
            "fax_number": "919-388-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CARLY",
        "middle_name": "ELISE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.