Active NPI
Cooper Collings, PT
- Physical Medicine & Rehabilitation Physician
- Glendale, AZ
National Provider Identifier
1639889702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- LPT-32618
- Practice address
- 17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612 - Phone
- (623) 979-2747
- NPI assigned
- Nov 30, 2022
- Last updated
- Nov 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | LPT-32618 | AZ | Primary |
Addresses
Primary practice location
17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612
Mailing address
17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612
Phone (623) 979-2747
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 |
|---|---|---|---|
| LPT-32618 | AZ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aris Health Corportation | Current | Accepting new patients |
Locations
17100 N 67th Ave
Ste 100
Glendale, AZ 85308
Phone (623) 979-2747
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, 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": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1639889702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 N 67TH AVE BLDG 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083612",
"telephone_number": "623-979-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 N 67TH AVE BLDG 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083612",
"telephone_number": "623-979-2747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINGS",
"first_name": "COOPER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "LPT-32618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.