Active NPI
Benjamin Hardee Cooley, P.T.
- Physical Therapist
- Laurel, MS
National Provider Identifier
1700901154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP046738T
- Practice address
- 1220 Jefferson St
Rehab Department
Laurel, MS 39440-4355 - Phone
- (601) 426-4119
- Fax
- (601) 426-4768
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP046738T | TX | Primary |
| Physical Therapist | 225100000X | PT3329 | MS |
Addresses
Primary practice location
1220 Jefferson St
Rehab Department
Laurel, MS 39440-4355
Mailing address
83 Merchant Cir
Ellisville, MS 39437-7204
Phone (601) 477-8788
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 |
|---|---|---|---|
| PT3329 | MS | MD | Physical Therapist |
| CP046738T | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1700901154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 MERCHANT CIR",
"city": "ELLISVILLE",
"state": "MS",
"postal_code": "394377204",
"telephone_number": "601-477-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 JEFFERSON ST",
"address_2": "REHAB DEPARTMENT",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404355",
"telephone_number": "601-426-4119",
"fax_number": "601-426-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "BENJAMIN",
"middle_name": "HARDEE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP046738T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT3329",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.