Active NPI
Beth Alison Cooper, PT
- Physical Therapist
- Issaquah, WA
National Provider Identifier
1871713263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007487
- Practice address
- 730 NW Gilman Blvd
Suite C 108
Issaquah, WA 98027-5326 - Phone
- (425) 391-6794
- Fax
- (425) 391-1525
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007487 | WA | Primary |
Addresses
Primary practice location
730 NW Gilman Blvd
Suite C 108
Issaquah, WA 98027-5326
Mailing address
730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027-5326
Phone (425) 391-6794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0122859 | Other | WA | LABOR & INDUSTRIES |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00007487 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1871713263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 NW GILMAN BLVD",
"address_2": "STE C108",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275326",
"telephone_number": "425-391-6794",
"fax_number": "425-391-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NW GILMAN BLVD",
"address_2": "SUITE C 108",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980275326",
"telephone_number": "425-391-6794",
"fax_number": "425-391-1525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BETH",
"middle_name": "ALISON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007487",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0122859",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.