JIM COOPER


Address: 2404 E Empire St, Bloomington, IL 61704-3630
Phone: 3096638275

JIM COOPER (NPI# 1033548367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033548367
Entity Type Individual
Full Name JIM COOPER
Practice Address 2404 E Empire St
Bloomington
IL 61704-3630
Mailing Address 507 E Armstrong Ave
Peoria
IL 61603-3201
Practice Telephone 3096638275
Practice Fax Number 3096627872
Mailing Telephone 3096638275
Mailing Fax Number 3096627872
Enumeration Date 2013-11-07
Last Update Date 2013-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2404 E EMPIRE ST
City BLOOMINGTON
State IL
Zip Code 61704-3630

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396947974 Debra Dietrich Psychologist 2404 E Empire St, Bloomington, IL 61704-3630 2007-06-05
1235785106 Meghan Cotsones Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2019-08-15
1851858880 Michelle Lynn Bognanno Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2019-02-26
1457817199 Margaret Renee Jones Social Worker 2404 E Empire St, Bloomington, IL 61704-3630 2019-02-19
1386129864 Hallie M Johnson Behavioral Analyst 2404 E Empire St, Bloomington, IL 61704-3630 2018-10-01
1336515022 Amanda Gruber Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2015-08-17
1134427669 Easter Seals Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2011-03-08
1801103528 Erin Marlene Fabish Speech-Language Pathologist 2404 E Empire St, Bloomington, IL 61704-3630 2010-09-01
1972734861 Jamie J Fifarek Physical Therapist 2404 E Empire St, Bloomington, IL 61704-3630 2009-07-27
1144492257 Laurie Marie Jeans Specialist 2404 E Empire St, Bloomington, IL 61704-3630 2008-03-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1922588235 Geethu Sabu Makil Speech-Language Pathologist 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 2018-08-16
1629596812 Mental Wellness Center Inc Counselor 202 N Prospect Rd Ste 207, Bloomington, IL 61704 2017-09-07
1649798513 Sarah Goodner Psychologist 1704 Royal Pointe Drive, Bloomington, IL 61704 2017-08-31
1346760253 Elizabeth Devlin Nurse Practitioner 25 Long Cove Ct, Bloomington, IL 61704 2017-06-21
1396107918 Darla Schwertfeger Specialist/Technologist, Other 2104 Hedgewood Dr, Bloomington, IL 61704 2016-03-23
1740662949 Oncology Hematology Associates of Central Illinois Pharmacy 3105 Magory Drive, Bloomington, IL 61704 2015-06-24
1821478967 Kelly R Andrews Massage Therapist 4101 Wicker Rd, Bloomington, IL 61704 2015-06-03
1235522582 All Ways Caring Services, Inc. In Home Supportive Care 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 2015-03-11
1396093977 Bhawna Gupta Physical Therapist 2200 East Washington Street, Bloomington, IL 61704 2012-08-29
Find all providers in zip 61704

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952918757 Alayna Kaye Gray Developmental Therapist 3825 S Woods Edge Bnd, Bloomington, IN 47401-8436 2020-09-25
1033615190 Erin Lynne Edwards Developmental Therapist 1414 Bunn St, Bloomington, IL 61701-6921 2018-04-05
1487159364 Madilyn Ann Lane Developmental Therapist 3113 Squall Way Apt 212, Bloomington, IL 61704-8495 2018-03-24
1457661431 Jennifer Renee Mayer Developmental Therapist 9564 Ridgewood Ct, Bloomington, IL 61705-5351 2010-10-08
1063736643 Maribeth Lartz Developmental Therapist 5 Inverness Dr, Bloomington, IL 61701-2047 2010-03-25
1528294352 Katie Ann Hansen Developmental Therapist 305 S Regency Dr, #1, Bloomington, IL 61701-4343 2009-06-08
1144460189 Lynn Corrie Irvin Developmental Therapist 1508 N Linden St, Bloomington, IL 61701-1942 2009-03-04
1801063045 Bobbie Jh Leeds Developmental Therapist 413 E Mill St, Bloomington, IL 61701-5336 2008-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003413568 Amy Rohan Developmental Therapist 17545 Mulberry Ave, Tinley Park, IL 60487-6163 2020-10-07
1992302954 Vannetta C Thompson Developmental Therapist 2247 Gunderson Ave Apt 2, Berwyn, IL 60402-5147 2020-10-02
1477150506 Quanita Crawford Developmental Therapist 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 2020-10-01
1740897412 Angela Perry Developmental Therapist 521 Eden Park Dr, Rantoul, IL 61866-1507 2020-09-28
1235746975 Dominique Scott Developmental Therapist 5342 S Wells St, Chicago, IL 60609-6219 2020-09-27
1003429820 Adrienne C Latronica Developmental Therapist 9865 Cordoba Ct Apt 2b, Orland Park, IL 60462-3190 2020-08-31
1669083424 Lindsay Miner Developmental Therapist 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 2020-08-13
1851901672 Gretchen Susanne Biggerstaff Developmental Therapist 1706 S Hancock St, Mc Leansboro, IL 62859-1996 2020-08-06
1205446549 Rene Yvonne Green Developmental Therapist 14425 E Blue Ridge Dr, Effingham, IL 62401-7168 2020-08-02
1306455357 Noel Elizabeth Ryall Developmental Therapist 9123 Baldwin Dr, Machesney Park, IL 61115-1715 2020-07-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City BLOOMINGTON
Zip Code 61704

Improve Information

Please comment or provide details below to improve the information on JIM COOPER.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches