Individual provider Active NPI

Lakee'Dra Charmane Cooper, PT, DPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1801598206
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP039883T Issued in MD
Practice address
6842 Race Track Rd Ste B
Bowie, MD 20715-3011
Phone
(240) 544-0200
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP039883T MD Primary
Physical Therapist 225100000X 015435 GA

Addresses

Primary practice location

6842 Race Track Rd Ste B
Bowie, MD 20715-3011

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

504 Everett St
St Simons Is, GA 31522-4605
Phone (866) 839-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC, MD, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230510002110 GA Practitioner - Physical Therapist in Private Practice 2961868336 Reassigns benefits to 2 organizations
I20250227002077 DC Practitioner - Physical Therapist in Private Practice 2961868336 Reassigns benefits to 1 organization
I20250325003963 MD Practitioner - Physical Therapist in Private Practice 2961868336 Reassigns benefits to 2 organizations
I20260211001186 TX Practitioner - Physical Therapist in Private Practice 2961868336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175

2389 Brandermill Blvd
Suite 103
Gambrills, MD 21054-1870
Phone (410) 774-9821

3000 FM 407
Suite 500
Bartonville, TX 76226-9300
Phone (940) 448-2007

6842 Race Track Rd B
Bowie, MD 20715-3011
Phone (240) 544-0200

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP039883TMDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 16, 2026 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Mar 31, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Feb 20, 2026 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 21, 2023 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 16, 2026 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Mar 31, 2023 Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

21 Ortho Ln
Fl 1
Atlanta, GA 30329

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

9 Lee Airpark Dr
Ste 400
Edgewater, MD 21037
Phone (443) 607-1469

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2389 Brandermill Blvd
Ste 103
Gambrills, MD 21054
Phone (410) 774-9821

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

3000 FM 407 E
Ste 500
Bartonville, TX 76226
Phone (940) 448-2007

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

2002 W Grand Pkwy N
Ste 125
Katy, TX 77449
Phone (281) 710-9001

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1801598206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 RACE TRACK RD STE B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207153011",
            "telephone_number": "240-544-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Everett St",
            "address_purpose": "LOCATION",
            "city": "St Simons Is",
            "state": "GA",
            "postal_code": "315224605",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LAKEE'DRA",
        "middle_name": "CHARMANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "CP039883T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "015435",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.