Cooperative Rehab Services, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

COOPERATIVE REHAB SERVICES, LLC

Practice address

1111 Glynco Pkwy
Suite 110
Brunswick, GA 31525-7921

Phone

(912) 264-5377

Fax

(912) 262-1889

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Reinschmidt

Title

VP/Chief Financial Officer

Phone

(904) 858-7488

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1669416426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 UNIVERSITY BLVD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164252",
            "telephone_number": "904-858-7606",
            "fax_number": "904-858-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY",
            "address_2": "SUITE 110",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257921",
            "telephone_number": "912-264-5377",
            "fax_number": "912-262-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "REINSCHMIDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-858-7488"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00969493A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Cook, RN
• Douglas Thurman Cooper, M.D.
• Michael Townsend Cooper Jr., M.D.
• Cooperative Healthcare Services Inc
• Cooperative Healthcare Services, Inc.
• Costal Georgia Vein Center Inc.
• Costrini & Meadows PC
• Maria C Coughenour, LPC
• Steven Forrest Cowan, LPC
• Eleanor Cowherd, APRN

• Rehabilitation Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.