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

Zach Cooper

Individual provider Massage Therapist · NPI 1558770685

Zach Cooper is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Revolution Ptwl LLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

845 N Michigan Ave Ste 973W
Chicago, IL 60611-2218
Phone: (312) 651-6255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 N Wells St, Chicago, IL 60606-1301 — (312) 957-8882

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070026914 (IL)
Massage Therapist Taxonomy 225700000X · Licence 227.016384 (IL)

Record details

NPI number1558770685
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2014
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022
Mailing address845 N Michigan Ave Ste 973w, Chicago, IL 60611-2218

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Revolution Ptwl Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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