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

Keith Cooper

Individual provider Physical Therapist · NPI 1730588484

Keith Cooper is a Physical Therapist in Private Practice in Beverly, Massachusetts. Qualified in 2014, 12 years ago. Practices with Proex Physical Therapy LLC, a 166-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
12
Licensed in
NH
In the registry since
2014
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Practice location Address checks out

900 Cummings Ctr Ste 130S
Beverly, MA 01915-6183
Phone: (978) 524-7827
Fax: (978) 524-7828
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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 3916 (NH)

Record details

NPI number1730588484
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2014
Last updated in NPPESOctober 1, 2019
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Proex Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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