Individual provider Active NPI

Jesse George Cops, ATC, LAT

  • Athletic Trainer
  • Boise, ID
National Provider Identifier
1770528333
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-231 Issued in ID
Practice address
1910 University Dr
Boise State University - Athletics
Boise, ID 83725-0002
Phone
(208) 426-3439
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-231 ID Primary

Addresses

Primary practice location

1910 University Dr
Boise State University - Athletics
Boise, ID 83725-0002

Mailing address

1341 James Howe Rd
Dallas, OR 97338-9695
Phone (503) 851-9346

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

LicenseStateTypeSpecialty
AT-231IDMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770528333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 JAMES HOWE RD",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973389695",
            "telephone_number": "503-851-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 UNIVERSITY DR",
            "address_2": "BOISE STATE UNIVERSITY - ATHLETICS",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837250002",
            "telephone_number": "208-426-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPS",
        "first_name": "JESSE",
        "middle_name": "GEORGE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.