Carla Cooper, DPT, GCS

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

39275 Issued in NC

Practice address

1210 Eastern Ave
Nashville, NC 27856-1817

Phone

(252) 462-0070

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1609226273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 ZIRCON LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457233",
            "telephone_number": "252-813-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 EASTERN AVE",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278561817",
            "telephone_number": "252-462-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "DPT, GCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "39275",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "11020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Douglas Chitla, BS PHARM
• Dessie Clark, RPH
• Ned Clark Jr., RPH
• Jamie Lancaster Clements
• Jamie Sykes Clemmons, RN
• Sandy Josephine Cortez
• County of Nash
• County of Nash
• County of Nash
• Nicole Marie Czechowicz, DPT

• Skilled Nursing Facility in Nashville, NC
• Providers in Nashville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.