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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1028 JC REDD DR WESSON, MISSISSIPPI 39191 |
City | WESSON |
State | MS |
Zip Code | 39191 |
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 |
Find all providers in zip 39191 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326363029 | Gregory Matthew Mcclain | Specialist/Technologist | 1028 Jc Redd Drive, Wesson, MS 39191-0649 | 2010-04-06 |
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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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.