Active NPI
Heather R Cooney, RADT
- Rehabilitation Practitioner
- Lake Elsinore, CA
National Provider Identifier
1659525012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539 - Phone
- (951) 333-7581
- NPI assigned
- Nov 12, 2008
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | CA |
Addresses
Primary practice location
31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539
Mailing address
1183 W Metz Rd
Perris, CA 92570-1727
Phone (951) 333-7581
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1659525012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 W METZ RD",
"city": "PERRIS",
"state": "CA",
"postal_code": "925701727",
"telephone_number": "951-333-7581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31946 MISSION TRL STE B",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304539",
"telephone_number": "951-333-7581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "HEATHER",
"middle_name": "R",
"credential": "RADT",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2008-11-12",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
- Community Access Network Non Profit Corporation
- Compassionate Medical Transport, Inc.
- Concise Healthcare Inc
- Matthew Mark Connolly
- Maria X Contreras, DDS
- Corc - Cooperation Over Conflict
- Corc Family Counseling Corporation
- Corc Family Counseling Corporation
- Corc Family Counseling Corporation
- Stephanie Rojas Cordon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.