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

Justin Cooper, PT

Individual provider Physical Therapist · NPI 1417260654

Justin Cooper, PT is a Physical Therapist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

505 S Aspen Ave
Broken Arrow, OK 74012-2296
Phone: (918) 994-5333
Fax: (918) 994-5334
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4311 (OK)

Record details

NPI number1417260654
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 16, 2010
Last updated in NPPESDecember 12, 2011
Mailing address6585 S Yale Ave, Ste 200, Tulsa, OK 74136-8384

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