Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669492765 Individual Practitioner Female Practitioner

Mary E Cooper , MS PHYSICAL EDU

Specialist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Mary Cooper, MS PHYSICAL EDU is a registered healthcare professional specializing in Specialist in Providence, RI. Practice services are available at 1000 EDDY STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Eddy Street

Providence, RI 02905

Telephone 4015339100
Associated Practice Facility / Clinic
🏢 Meeting Street Center Facility NPI 1720014442

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.8 Yrs
State Avg: 34.6 Yrs
Regional Practice Density
115 Specialists

Practicing in Providence, RI (216 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9009994 (RI)
Medicaid State Provider ID
99947 (RI)
Medicaid State Provider ID
2058 (RI)
Commercial Insurance / Payer ID Ss Uhp
6400144 (RI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Kugler , MSCCC-SLP

Speech-Language Pathologist

NPI 1003073909

MSCCCSLP

Alina Kapustin

Case Manager/Care Coordinator

NPI 1003399544
Connie Rinehart , MSCCC-SLP

Speech-Language Pathologist

NPI 1013140391

MSCCCSLP

Stephanie O'donnell , RD, LDN

Dietitian, Registered

NPI 1013239607

Registered Dietitian, Licensed Dietitian Nutritionist

NPI 1013293281

Doctor of Physical Therapy

Amy Strenke

Registered Nurse

NPI 1013573617

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1000 EDDY STREET, PROVIDENCE, RI 02905 (Tel: 4015339100)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1000 EDDY STREET, PROVIDENCE, RI 02905 (Tel: 4015339100)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as MARY COOPER, MS PHYSICAL EDU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist

🟢
Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669492765
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

1000 Eddy Street

Providence, RI 02905

Phone: 4015339100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.