Cory Cooper, PT ,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016753 Issued in MI

Practice address

165 Washington Ave N
Battle Creek, MI 49037

Phone

(269) 245-3676

NPI assigned

Aug 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Carle Foundation Hospital

  • General Acute Care Hospital
  • Urbana, IL
  • NPI 1083736177
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1992998876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON AVE N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372929",
            "telephone_number": "269-245-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WASHINGTON AVE N",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49037",
            "telephone_number": "269-245-3676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 W. Anthony Dr",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618027431",
            "country_code": "US",
            "telephone_number": "217-326-2911",
            "fax_number": "217-344-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CORY",
        "name_prefix": "Ms.",
        "credential": "PT ,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "203",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAMP PROVIDER #",
            "identifier": "4117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID",
            "identifier": "113326",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONALCARE PROVIDER ID",
            "identifier": "7216",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lila M Cook, LLPC
• Neenah Cook
• Monique Marie Coon, RRT
• Kami Lynn Coonfare, LMSW
• Cooper Family Chiropractic PLC
• Deborah Lynn Cooper, RDH
• Nicholas William Cooper
• Amanda Ann-Morgan Cope, LPC
• Lindsey Michelle Cord, LMSW
• Amber Corneillie, PA-C

• Physical Therapist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.