Provider Demographics
NPI:1427876515
Name:COOPER, KATHLEEN T (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:T
Last Name:COOPER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11312 US 15 501 N STE 403
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-6377
Mailing Address - Country:US
Mailing Address - Phone:919-933-1110
Mailing Address - Fax:919-933-1110
Practice Address - Street 1:11312 US 15 501 N STE 403
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-6377
Practice Address - Country:US
Practice Address - Phone:919-933-1110
Practice Address - Fax:919-933-1110
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-28
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP24536225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist