Individual provider Active NPI

Scott A Cooper, DPT

  • Physical Therapist
  • Newville, PA
National Provider Identifier
1871203786
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT030864 Issued in PA
Practice address
91 S High St Ste 3
Newville, PA 17241-1405
Phone
(717) 776-1058
Fax
(717) 776-1078
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 PT030864 PA Primary

Addresses

Primary practice location

91 S High St Ste 3
Newville, PA 17241-1405

Mailing address

20 Park PL Ste 2
Shippensburg, PA 17257-9806
Phone (717) 477-8030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124000919 PA Practitioner - Physical Therapist in Private Practice 3577934819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shippensburg Physical Therapy and Sports Medicine LLCGroup PAC ID 2860598364, 18 clinicians

Practice addresses (Care Compare)

20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone (717) 447-8030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT030864PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shippensburg Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

371 E Water St
Ste 1
Gettysburg, PA 17325
Phone (717) 549-2945

91 S High St
#3
Newville, PA 17241
Phone (717) 477-8030

20 Park Pl
#2
Shippensburg, PA 17257
Phone (717) 477-8030

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1871203786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PL STE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S HIGH ST STE 3",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411405",
            "telephone_number": "717-776-1058",
            "fax_number": "717-776-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.