Shelley A Cooper, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10939 Issued in CA

Practice address

78078 Country Club Dr
Suite 205
Bermuda Dunes, CA 92203-8173

Phone

(760) 345-9934

Fax

(760) 345-3086

NPI assigned

Apr 18, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Mawhiney Physical Therapy IncGroup PAC ID 5698056042, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• James Mawhiney Physical Therapy Inc

  • Physical Therapist
  • Bermuda Dunes, CA
  • NPI 1851784177
  Medicare reassignment Care Compare group NPD
• James R Mawhiney, DPT

  • Physical Therapist
  • Bermuda Dunes, CA
  • NPI 1851603138
  Medicare reassignment
• Shelley a Cooper PT

  • Physical Therapist
  • Indio, CA
  • NPI 1437193059
  NPD (past) Authorized official
• PT Works Inc

  • Physical Therapist
  • La Quinta, CA
  • NPI 1649861949
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780800540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "address_2": "SUITE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78078 COUNTRY CLUB DR",
            "address_2": "SUITE 205",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922038173",
            "telephone_number": "760-345-9934",
            "fax_number": "760-345-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT10939",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bropal Medical Ca PC
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• Joshua Carrazana
• Deborah Chatfield, MPT
• Clinica del Sol Medical Group Inc
• Larry Dana Copus, RPH
• Daniel O Tolhurst DDS Inc
• Paula M Defrees, PHYSICAL THERAPIST
• Rebekah Dennison, LMT
• Desert Advanced Imaging Center

• Physical Therapist in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.