MR. THEAVIS COOPER JR.


Address: 1028 Jc Redd Dr Wesson, Mississippi 39191, Wesson, MS 39191
Phone: 6016438479

MR. THEAVIS COOPER JR. (NPI# 1073064226) 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) 1073064226
Entity Type Individual
Full Name MR. THEAVIS COOPER JR.
Credential ATC
Practice Address 1028 Jc Redd Dr Wesson, Mississippi 39191
Wesson
MS 39191
Mailing Address 507 Highway 51 N
Po Box 948
Brookhaven
MS 39601
Practice Telephone 6016438479
Mailing Telephone 6017548008
Enumeration Date 2016-10-21
Last Update Date 2019-02-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1028 JC REDD DR WESSON, MISSISSIPPI 39191
City WESSON
State MS
Zip Code 39191

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730645888 Rebecca Lind Schrader Nurse Practitioner 3746 Foster Lane Nw, Wesson, MS 39191 2019-02-13
1811496656 Icare Services, LLC Respite Care 1007 Robinson Street, Wesson, MS 39191 2018-02-07
1427156108 Steven Barry Liverman Family Medicine 1096 Beech St, Wesson, MS 39191 2006-09-20
1326363029 Gregory Matthew Mcclain Specialist/Technologist 1028 Jc Redd Drive, Wesson, MS 39191-0649 2010-04-06
1548659097 Copiah Lincoln Community College Family Medicine 1028 Jc Redd Dr, Wesson, MS 39191-5020 2015-01-21
1306047972 Leslie Anne Carty Dentist 2076 Highway 51 Ne, Wesson, MS 39191-6859 2007-05-30
1417350323 Nathaniel Tillman Licensed Practical Nurse 2124 John Smith Ln, Wesson, MS 39191-7733 2014-10-06
1427451343 Yvette Tillman Nurse's Aide 2124 John Smith Ln, Wesson, MS 39191-7733 2014-10-06
1881903896 Susan Renee Moore Specialist 9030 Monticello Rd, Wesson, MS 39191-9027 2010-09-26
1902203896 Lyndsay King Occupational Therapist 10091 Sylvarena Rd, Wesson, MS 39191-9248 2014-11-20
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326363029 Gregory Matthew Mcclain Specialist/Technologist 1028 Jc Redd Drive, Wesson, MS 39191-0649 2010-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942817895 Thaxton Sullivan Specialist/Technologist 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 2020-09-24
1114532587 David Vincent Hughes Jr. Specialist/Technologist 1 Priority Plaza, West Point, MS 39773 2020-09-13
1194333484 Rebbecca Alister Ruckes Specialist/Technologist 741 Cr 503, Ripley, MS 38663-3866 2020-07-22
1164049102 Catherine Meredith Pendergast Specialist/Technologist 36 Hill Dr., University, MS 38677 2020-06-25
1972137685 Pamela Sue Ezell Specialist/Technologist 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 2020-03-03
1629600606 Weldon Meng Specialist/Technologist 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 2020-02-07
1295374536 Celia Shields Specialist/Technologist 1776 Brookhaven Dr, Southaven, MS 38671-3554 2020-01-03
1396384947 Natasha Lea Hayes Specialist/Technologist 254 Springhill Rd, Laurel, MS 39443-7874 2019-12-30
1184263048 Keizia Davidson Specialist/Technologist 153 Ripon Ct, Ridgeland, MS 39157-1265 2019-12-24
1730726530 Stephen Thompson Specialist/Technologist 2816 Jim St, Tupelo, MS 38801-6763 2019-11-30
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Competitor

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City WESSON
Zip Code 39191

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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.

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