Active NPI
Michael Jay Cooperman, PT
- Physical Therapist
- Bellevue, NE
National Provider Identifier
1871804385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2183
- Practice address
- 12717 S 28TH Ave
Bellevue, NE 68123-3232 - Phone
- (402) 871-4089
- NPI assigned
- Jun 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 2183 | NE | Primary |
Addresses
Primary practice location
12717 S 28TH Ave
Bellevue, NE 68123-3232
Mailing address
1605 Leona Cir
Bellevue, NE 68123-6806
Phone (402) 932-0712
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 |
|---|---|---|---|
| 2183 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapeutic Care Inc. | Physical Therapist | 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
- Pompano Beach, FL
- NPI 1255574604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1871804385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 LEONA CIR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681236806",
"telephone_number": "402-932-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12717 S 28TH AVE",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681233232",
"telephone_number": "402-871-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPERMAN",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.