Active NPI
Benjamin C Cooley, LMT
- Specialist
- Kissimmee, FL
National Provider Identifier
1578830709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA54981
- Practice address
- 711 E Oak St
Kissimmee, FL 34744-4573 - Phone
- (407) 933-1500
- Fax
- (407) 933-1503
- NPI assigned
- Nov 16, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA54981 | FL | Primary |
Addresses
Primary practice location
711 E Oak St
Kissimmee, FL 34744-4573
Mailing address
PO Box 2820
Windermere, FL 34786-2820
Phone (407) 933-1500
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 |
|---|---|---|---|
| MA54981 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health Care Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Kissimmee, FL
- NPI 1407134075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1578830709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2820",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347862820",
"telephone_number": "407-933-1500",
"fax_number": "407-933-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444573",
"telephone_number": "407-933-1500",
"fax_number": "407-933-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "BENJAMIN",
"middle_name": "C",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-16",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA54981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.