Tanya Cooper

Key facts

NPI

1801003066

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT3010 (MS)

Practice address

100 Covington Ridge PL
Collins, MS 39428-3890

Phone

(601) 765-6133

Fax

(866) 404-9501

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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.

• Pure Health Therapy Services, LLC Physical Therapy Clinic/Center · Madison, MS · NPI 1235845561
  Medicare reassignment Care Compare group NPD MS · PHYSICAL THERAPIST
• Renewed Wellness Company, PLLC Physical Therapy Clinic/Center · Beaumont, MS · NPI 1851003917
  Medicare reassignment Care Compare group MS
• Magnolia Healthcare Rehabilitation Services Physical Therapist · Hattiesburg, MS · NPI 1679668784
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renewed Wellness Company PLLC (3 clinicians)
Pure Health Therapy Services LLC (7 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2023.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1801003066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 GULF TECH DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648238",
            "telephone_number": "228-875-5447",
            "fax_number": "866-404-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COVINGTON RIDGE PL",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283890",
            "telephone_number": "601-765-6133",
            "fax_number": "866-404-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collins, MS

• Madison Colley
• Collins Adult Day Care
• Collins Community Care Center LLC
• Collins Family Dental Care
• Community 1St Family Clinic LLC
• Cornerstone Home Based Support Services, LLC
• Melissa D Couch, MS, LMFT
• Covington County Hospital
• Covington County Hospital
• Covington County Hospital

All providers in Collins, MS · Physical Therapist in Mississippi