Individual provider Active NPI

Joshua Cooper, PT,DPT

  • Physical Therapist
  • Renton, WA
National Provider Identifier
1689299349
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61068103 Issued in WA
Practice address
451 Duvall Ave NE Ste 200
Renton, WA 98059-4675
Phone
(425) 235-9505
Fax
(425) 226-7334
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61068103 WA Primary

Addresses

Primary practice location

451 Duvall Ave NE Ste 200
Renton, WA 98059-4675

Mailing address

451 Duvall Ave NE Ste 200
Renton, WA 98059-4675
Phone (425) 235-9505

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Renton

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915001904 WA Practitioner - Physical Therapist in Private Practice 8123446671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Carl Burns MSPT Inc PSGroup PAC ID 6800783861, 3 clinicians

Practice addresses (Care Compare)

885 Point Brown Ave NW
Ocean Shores, WA 98569-9682
Phone (360) 289-0251

Merit-based Incentive Payment System (MIPS)

Final score
96.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
89.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61068103WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Carl Burns MSPT Inc PS Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Partnering Together Inc Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients

Locations

501 8th St
Hoquiam, WA 98550
Phone (360) 532-0544

885 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-0251

Organizations & group practices 2

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1689299349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUVALL AVE NE STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594675",
            "telephone_number": "425-235-9505",
            "fax_number": "425-226-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOSHUA",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61068103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Renton",
            "affiliation": "N",
            "address_1": "451 Duvall Ave NE Ste 200",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980594675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.