Active NPI
Douglas Edward Allen Cool Jr., LMT
- Mechanotherapist
- Plantation, FL
National Provider Identifier
1679909782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA43373
- Practice address
- 8113 NW 17TH MNR
Plantation, FL 33322-5462 - Phone
- (954) 651-1332
- NPI assigned
- Sep 20, 2013
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA43373 | FL | Primary |
Addresses
Primary practice location
8113 NW 17TH MNR
Plantation, FL 33322-5462
Mailing address
8113 NW 17TH MNR
Plantation, FL 33322-5462
Phone (954) 651-1332
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 |
|---|---|---|---|
| MA43373 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1679909782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8113 NW 17TH MNR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225462",
"telephone_number": "954-651-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8113 NW 17TH MNR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333225462",
"telephone_number": "954-651-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOL",
"first_name": "DOUGLAS",
"middle_name": "EDWARD ALLEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-20",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA43373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.