Active NPI
David Tyler Cooper, ATC, LAT
- Athletic Trainer
- Columbiana, AL
National Provider Identifier
1821452228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1737
- Practice address
- 101 Washington St
Columbiana, AL 35051-9325 - Phone
- (256) 738-6808
- NPI assigned
- Apr 12, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1737 | AL | Primary |
Addresses
Primary practice location
101 Washington St
Columbiana, AL 35051-9325
Mailing address
720 Montclair Rd Ste 202
Birmingham, AL 35213-1964
Phone (205) 747-2710
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 |
|---|---|---|---|
| 1737 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Birmingham, AL
- NPI 1235422908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1821452228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 MONTCLAIR RD STE 202",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131964",
"telephone_number": "205-747-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WASHINGTON ST",
"city": "COLUMBIANA",
"state": "AL",
"postal_code": "350519325",
"telephone_number": "256-738-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DAVID",
"middle_name": "TYLER",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "1737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbiana, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.