Active NPI
Joel Nelson Cooper, PT
- Physical Therapist
- Bakersfield, CA
National Provider Identifier
1891775672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8213
- Practice address
- 2603 G St
Bakersfield, CA 93301 - Phone
- (661) 634-9440
- Fax
- (661) 634-9506
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- 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 | PT8213 | CA | Primary |
Addresses
Primary practice location
2603 G St
Bakersfield, CA 93301
Mailing address
5339 Truxtun Ave
Bakersfield, CA 93309-0641
Phone (661) 328-0650
Other practice location 1
142 E Tulare Ave
Shafter, CA 93263-1834
Phone (661) 746-3844
Other practice location 2
2603 G St
Bakersfield, CA 93301
Phone (661) 634-9440
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 |
|---|---|---|---|
| PT8213 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1891775672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5339 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090641",
"telephone_number": "661-328-0650",
"fax_number": "661-328-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 G ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-634-9440",
"fax_number": "661-634-9506"
}
],
"practiceLocations": [
{
"address_1": "142 E Tulare Ave",
"address_purpose": "LOCATION",
"city": "Shafter",
"state": "CA",
"postal_code": "932631834",
"country_code": "US",
"telephone_number": "661-746-3844",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2603 G St",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93301",
"country_code": "US",
"telephone_number": "661-634-9440",
"fax_number": "661-634-9506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "JOEL",
"middle_name": "NELSON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT8213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.