MRS. KIMBERLY GARRETT COOPER RPT
NPI 1174721047
Physical Therapist - Pediatrics in Brandon, MS

NPI Status: Active since July 03, 2007

Contact Information

112 RIVERBEND CV
BRANDON, MS
ZIP 39047
Phone: (601) 825-9501

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  • Individual
  • Female
  • Physical Therapist
  • Pediatrics

About KIMBERLY COOPER

This page provides the complete NPI Profile along with additional information for Kimberly Cooper, a provider established in Brandon, Mississippi with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1174721047 assigned on July 2007. The practitioner's primary taxonomy code is 2251P0200X with license number PT0196 (MS). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1174721047
Provider Name
MRS. KIMBERLY GARRETT COOPER RPT
Gender
Female
Entity Type
Individual
Location Address
112 RIVERBEND CV BRANDON, MS 39047
Location Phone
(601) 825-9501
Mailing Address
112 RIVERBEND CV BRANDON, MS 39047
Mailing Phone
(601) 825-9501
Is Sole Proprietor?
Yes
Enumeration Date
07-03-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist Pediatrics

Taxonomy Code
2251P0200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT0196
License State
MS
Taxonomy Description
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00124121MEDICAID (05)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174721047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144142208
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 2 + 2 + 0 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1174721047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174721047, enumerated in the NPI registry as an "individual" on July 03, 2007

The provider is located at 112 Riverbend Cv Brandon, Ms 39047 and the phone number is (601) 825-9501

The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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