Individual provider Active NPI

Caleb Cooley, PT, DPT

  • Physical Therapist
  • Canton, GA
National Provider Identifier
1821764788
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015487 Issued in GA
Practice address
200 Centennial Cir
Canton, GA 30114-2585
Phone
(770) 840-5505
NPI assigned
Aug 20, 2021
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015487 GA Primary

Addresses

Primary practice location

200 Centennial Cir
Canton, GA 30114-2585

Mailing address

200 Centennial Cir
Canton, GA 30114-2585
Phone (770) 840-5505

Other practice location 1

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578
Phone (770) 887-0502

Other practice location 2

885 Dawsonville Hwy Ste 1140
Gainesville, GA 30501-2642
Phone (678) 943-8691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202000543 GA Practitioner - Physical Therapist in Private Practice 9830597277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015487GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 17, 2023 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Sep 20, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 17, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince May 25, 2022 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince May 25, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 16, 2022 Accepting new patients
Cooley Physical Therapy and Sports Performance LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Sep 20, 2022 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669

885 Dawsonville Hwy
Ste 1140
Gainesville, GA 30501
Phone (678) 943-8691

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

6278 Beach Dr SW
Ste 114
Ocean Isle Beach, NC 28469
Phone (888) 357-9043

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1821764788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTENNIAL CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142585",
            "telephone_number": "770-840-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTENNIAL CIR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142585",
            "telephone_number": "770-840-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Ronald Reagan Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417578",
            "country_code": "US",
            "telephone_number": "770-887-0502",
            "fax_number": "770-887-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Dawsonville Hwy Ste 1140",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012642",
            "country_code": "US",
            "telephone_number": "678-943-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "CALEB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.