Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jackson William Cooper, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1295621258

Jackson William Cooper, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Olathe, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2025, 1 year ago. Practices with Northland Physical Therapy and Rehab Services Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

11160 S Lone Elm Rd
Olathe, KS 66061-9434
Phone: (913) 708-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-07903 (KS)

Record details

NPI number1295621258
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2025 (1 years in practice)
Group practice Northland Physical Therapy And Rehab Services Inc — 120 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Olathe