Benedict Joseph Cooley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010559 Issued in WA

Practice address

2225 Riverside Dr
Mount Vernon, WA 98273-5403

Phone

(360) 424-6226

Fax

(360) 424-0220

NPI assigned

Oct 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833
  Medicare reassignment Care Compare group
• Merit Rehab, LLC

  • Physical Therapist
  • Mt Vernon, WA
  • NPI 1285827816
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1992993406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31459 BARBEN RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849160",
            "telephone_number": "360-826-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 RIVERSIDE DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735403",
            "telephone_number": "360-424-6226",
            "fax_number": "360-424-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "BENEDICT",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010559",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey F Connor, LMP
• Consejo Conseling and Referral Services
• Conway School District
• Crystal Conway, M.S.
• Elizabeth Irene Cooksey, BSN
• Cynthia Kay Cooley, M.S., MFT
• Ryan Charles Coonc, DPT
• Christa M Cooney, RN
• Cooper Urology, Inc. PS
• Linnea Kristin Cooper, ARNP

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.