Active NPI
Cooper Jeffrey Witt, PT
- Physical Therapist
- Neenah, WI
National Provider Identifier
1780113035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13874
- Practice address
- 1516 S Commercial St
Neenah, WI 54956-4802 - Phone
- (920) 830-5050
- Fax
- (920) 725-6535
- NPI assigned
- Jun 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13874 | WI | Primary |
Addresses
Primary practice location
1516 S Commercial St
Neenah, WI 54956-4802
Mailing address
1516 S Commercial St
Neenah, WI 54956-4802
Phone (920) 830-5050
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 |
|---|---|---|---|
| 13874 | WI | MD | Physical Therapist |
Interoperability endpoints
- cwitt179079@direct.thedacare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1780113035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549564802",
"telephone_number": "920-830-5050",
"fax_number": "920-725-6535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549564802",
"telephone_number": "920-830-5050",
"fax_number": "920-725-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITT",
"first_name": "COOPER",
"middle_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
- Wisconsin CVS Pharmacy LLC (CVS Pharmacy #05936)
- Wisconsin Institute of Surgical Excellence LLC
- Wisconsin Institute of Urology SC
- Wisconsin Medicaid
- Kristin Suzanne Wisniewski, M.S., CCC-SLP
- Emily M Wolf, FNP-C
- Megan Wolfinger, D.D.S.
- Women's Care of Wisconsin S.C.
- Lisa T. Wood, LCSW
- Thomas J Wood, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.