| John Logan Cooper, DPT | |
|
5024 Dorsey Hall Dr, Ste 103, Ellicott City, MD 21042-7869 | |
| (410) 740-1047 | |
| (410) 740-2280 |
| Full Name | John Logan Cooper |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 5024 Dorsey Hall Dr, Ellicott City, Maryland |
| 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 |
|---|---|---|---|
| 1053573782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 22573 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Manual Therapy Specialists, Llc | 7214027796 | 4 |
| Provider Name | Orthopaedic Manual Therapy Specialists, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699175711 PECOS PAC ID: 7214027796 Enrollment ID: O20141110000058 |
| Mailing Address | Practice Location Address |
|---|---|
| John Logan Cooper, DPT 5024 Dorsey Hall Dr, Ste 103, Ellicott City, MD 21042-7869 Ph: (410) 740-1047 | John Logan Cooper, DPT 5024 Dorsey Hall Dr, Ste 103, Ellicott City, MD 21042-7869 Ph: (410) 740-1047 |
Ms. Alice M Cheung, B.S. IN PHYSICAL THE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-772-5865 | |
Mr. Paolo Lumucso Calma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043 Phone: 410-750-9006 Fax: 410-750-0787 | |
Monica Morales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3130 Evergreen Way, Ellicott City, MD 21042 Phone: 410-531-7558 Fax: 410-531-7558 | |
Jennifer O Vizcarrondo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10910 Route 108, Ellicott City, MD 21042 Phone: 443-745-5245 | |
Mrs. Lisa Marie Massie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Dorsey Hall Dr Ste 130, Ellicott City, MD 21042 Phone: 443-393-3788 Fax: 443-378-3533 | |
Lucas Hyun, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10081 Colonial Dr, Ellicott City, MD 21042 Phone: 443-878-7273 |