Individual provider Active NPI

Cooper Collings, PT

  • Physical Medicine & Rehabilitation Physician
  • Glendale, AZ
National Provider Identifier
1639889702
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
LPT-32618 Issued in AZ
Practice address
17100 N 67TH Ave BLDG 100
Glendale, AZ 85308-3612
Phone
(623) 979-2747
NPI assigned
Nov 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPT-32618AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aris Health Corportation CurrentSince Dec 6, 2022 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.