| Cody Cooper, | |
|
1611 W Main St, El Centro, CA 92243-2212 | |
| (760) 337-1144 | |
| (760) 337-8259 |
| Full Name | Cody Cooper |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 11 Years |
| Location | 1611 W Main St, El Centro, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649633520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 43548 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eggleton And Langton Physical Therapy Management Services | 0840192530 | 63 |
| Mdrs Spine And Sport Inc | 3274446687 | 183 |
| Provider Name | Eggleton & Langton Physical Therapy Management Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972229805 PECOS PAC ID: 0840192530 Enrollment ID: O20040122001219 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Cooper, 317 N El Camino Real, Suite 210, Encinitas, CA 92024-2811 Ph: (760) 634-0248 | Cody Cooper, 1611 W Main St, El Centro, CA 92243-2212 Ph: (760) 337-1144 |
Goodlife Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Smoketree Dr, El Centro, CA 92243 Phone: 760-847-7044 | |
Brandon Morlett, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 | |
Dustin John Andrew Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-679-0210 Fax: 760-679-0213 | |
Hoang Vu Le, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 426 N Imperial Ave, El Centro, CA 92243 Phone: 760-592-8148 Fax: 760-841-5556 | |
Dr. Jose N. Valencia, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1398 Sperber Rd, El Centro, CA 92243 Phone: 760-312-6464 | |
Miss Ann-marie Wurzbach, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 428 N Imperial Ave, El Centro, CA 92243 Phone: 760-353-3422 Fax: 760-353-9163 | |
Russell Dial, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1611 W Main St, El Centro, CA 92243 Phone: 760-337-1144 Fax: 760-337-8259 |