Brian David Cooper, CMT/LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

0019009629 Issued in VA

Practice address

7450 Heritage Village PLZ
Suite 201
Gainesville, VA 20155-3090

Phone

(973) 800-5194

NPI assigned

Nov 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1801130794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 CALADIUM DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201106083",
            "telephone_number": "973-800-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 201",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553090",
            "telephone_number": "973-800-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "CMT/LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "VA",
            "license": "0019009629",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "DC",
            "license": "MT1634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Mechanotherapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.