Cooper Kids Therapy Associates

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

55800 Issued in NY

Legal business name

COOPER KIDS THERAPY ASSOCIATES

Practice address

2 Roosevelt Ave
Suite 300
Syosset, NY 11791-3064

Phone

(516) 551-0699

Fax

(516) 921-4432

NPI assigned

Jun 17, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Ellen Cooper, MA

Title

Director

Phone

(516) 496-4460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339891200000",
    "number": "1700149606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913064",
            "telephone_number": "516-551-0699",
            "fax_number": "516-921-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 300",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913064",
            "telephone_number": "516-551-0699",
            "fax_number": "516-921-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER KIDS THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-17",
        "last_updated": "2012-06-17",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-496-4460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "55800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Ardolino Comerford, P.T.
• Janeen Connor
• Donna Conrad
• Constellation Home Care LLC
• Cooper Kids Therapy Associates
• Ellen D Cooper, M.A.CCC/SLP
• Ezra Robert Cooper, D.C.
• Elana C Cooperman, LCSW
• Mitchell Allen Cooperman, DPM
• Lester M Cooperstone, MD

• Early Intervention Provider Agency in Syosset, NY
• Providers in Syosset, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2012; 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.