Active NPI
Krista Elizabeth Cooley, PT, DPT
- Physical Therapist
- Fairport, NY
National Provider Identifier
1992285514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043213
- Practice address
- 149 N Main St
Fairport, NY 14450-1434 - Phone
- (585) 377-2230
- Fax
- (585) 377-2243
- NPI assigned
- Aug 14, 2018
- 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 | 043213 | NY | Primary |
Addresses
Primary practice location
149 N Main St
Fairport, NY 14450-1434
Mailing address
445 Maplewoods LN
Webster, NY 14580-1762
Phone (585) 469-9587
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043213 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Start Pediatric Services | 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.
-
- Early Intervention Provider Agency
- Fairport, NY
- NPI 1467618231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1992285514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 MAPLEWOODS LN",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801762",
"telephone_number": "585-469-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 N MAIN ST",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501434",
"telephone_number": "585-377-2230",
"fax_number": "585-377-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOLEY",
"first_name": "KRISTA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.