Cooley Physical Therapy and Sports Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COOLEY PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC

Practice address

200 Centennial Cir
Canton, GA 30114-2585

Phone

(770) 840-5505

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Caleb Cooley, DPTNPI 1821764788

Title

Owner

Phone

(770) 840-5505

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caleb Cooley, PT, DPT

  • Physical Therapist
  • Canton, GA
  • NPI 1821764788
  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1871327197",
    "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": [],
    "basic": {
        "organization_name": "COOLEY PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-840-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Comrie
• Connect the Dots Coordination, Inc.
• Christina Dianne Conti, LAPC, NCC, M.ED
• Emily Conyer
• Jessica A Cook, PTA
• Caleb Cooley, PT, DPT
• Charles R Cooley, M.D.
• M Katherine Coolidge, LCSW
• Kaylee Rae Cooper, PT, DPT
• Neal Anthony Coordes

• Physical Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapist in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.