Keith Cooper

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3916 Issued in NH

Practice address

900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183

Phone

(978) 524-7827

Fax

(978) 524-7828

NPI assigned

Aug 19, 2014

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Synergy Sports Medicine PLLCGroup PAC ID 6608348990, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proex Physical Therapy, LLC

  • Physical Therapist
  • Woburn, MA
  • NPI 1831190453
  Medicare reassignment Care Compare group
• Synergy Sports Medicine PLLC

  • Medical Specialty Clinic/Center
  • Beverly, MA
  • NPI 1609733526
  Care Compare group
• Proex Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • West Yarmouth, MA
  • NPI 1649023599
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1730588484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BROADHOLLOW RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475002",
            "telephone_number": "631-359-5859",
            "fax_number": "631-396-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 130S",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156183",
            "telephone_number": "978-524-7827",
            "fax_number": "978-524-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KEITH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cook, ATC, LAT, CSCS, CKTP
• Madison Cooley
• James E Cooney, L.I.C.S.W.
• Stacy L. Cooper Lucido, M.ED. CCC-SLP
• Jody E Cooper
• Alex Christine Copans, LICSW
• Heidi Cope
• Shauna Coppinger
• Hannah Coppola, DPT
• Molly Corcoran, CCC-SLP

• Physical Therapist in Beverly, MA
• Providers in Beverly, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.