Sandra R Cooper, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

TEI000254 Issued in PA

Practice address

6375 Chambersburg Rd
Fayetteville, PA 17222-8350

Phone

(717) 352-2721

NPI assigned

Jun 11, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1740628858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172228350",
            "telephone_number": "717-352-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172228350",
            "telephone_number": "717-352-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "TEI000254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonah Burke, DO
• Childhood Early Intervention, LLC
• Sandra M. Cifor, DO
• John Michael Connor, DO
• Jill Cooke
• Melissa Davis, CRNP
• Fayetteville Volunteer Fire Department
• Joan Marie Finui, PTA
• Amy Fleming, COTA/L
• Jenelle Fortney

• Skilled Nursing Facility in Fayetteville, PA
• Providers in Fayetteville, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.