MALLORY CATHERINE COOPER (NPI# 1962928606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962928606 |
| Entity Type | Individual |
| Full Name | MALLORY CATHERINE COOPER |
| Credential | CTRS |
| Practice Address |
2140 Merced St Fresno CA 93721-1721 |
| Practice Telephone | 5598921125 |
| Mailing Telephone | 5598921125 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 69061 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2140 MERCED ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593192 | Gerardo Puga | Marriage & Family Therapist | 2140 Merced St, Fresno, CA 93721-1721 | 2007-05-03 |
| 1528544020 | Brenda Pheaktra Hem | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-07-17 |
| 1790270031 | Brenna Elise Garcia | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1548755861 | Elia Lopez | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1558856286 | Jayla Jamile Fiedor | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-26 |
| 1023502150 | Wendy Davis | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-21 |
| 1043704588 | Amanda Hem | Licensed Vocational Nurse | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1033603436 | Rasmee Vang | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-19 |
| 1205320785 | James A Ortiz | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1679066716 | Jeffrey Jerome Stanley Jr. | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740636190 | Jason Dobbins | Recreation Therapist | 4635 N Wishon Ave, Fresno, CA 93704-3142 | 2016-05-04 |
| 1174998827 | Emily Kroeker | Recreation Therapist | 5828 W Fallon Ave, Fresno, CA 93722-2812 | 2015-12-07 |
| 1033264494 | Brian C Bishop | Recreation Therapist | 11 S Teilman Ave, Fresno, CA 93706-1332 | 2007-01-24 |
| 1487714416 | Danielle A Payn | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-11 |
| 1891336004 | Mailee Vang | Recreation Therapist | 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2019-09-30 |
| 1891349700 | Andrea Maria Hernandez | Recreation Therapist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2019-07-29 |
| 1639567704 | Jaime William | Recreation Therapist | 2042 Kern St, Fresno, CA 93721-2008 | 2014-12-24 |
| 1760533368 | Daniel Proctor Norton | Recreation Therapist | 3133 N Millbrook Ave, Fresno, CA 93703-1425 | 2007-01-12 |
| 1811059751 | Hope N. Giordano | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-15 |
| 1558422170 | Thomas Charles Bulger | Recreation Therapist | 3147 N Millbrook Ave, Fresno, CA 93703-1425 | 2006-12-13 |
| Find all providers in FRESNO | ||||
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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.