Active NPI
Christopher Cooper
- Massage Therapist
- Jonesboro, GA
National Provider Identifier
1598300097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010340
- Practice address
- 922 Monterey Cir
Jonesboro, GA 30236-8252 - Phone
- (305) 684-6777
- NPI assigned
- Nov 8, 2019
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT010340 | GA | Primary |
Addresses
Primary practice location
922 Monterey Cir
Jonesboro, GA 30236-8252
Mailing address
3161 Howell Mill Rd NW Ste 410
Atlanta, GA 30327-2117
Phone (305) 684-6777
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 |
|---|---|---|---|
| MT010340 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1598300097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3161 HOWELL MILL RD NW STE 410",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303272117",
"telephone_number": "305-684-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 MONTEREY CIR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302368252",
"telephone_number": "305-684-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT010340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.