MAC COOPER PTA
NPI 1831627710
Physical Medicine & Rehabilitation in Salmon, ID

Active since May 23, 2017PECOS Enrolled
802 SHOUP ST, SALMON, ID 83467(208) 756-2005(208) 756-4020 Get Directions Write a Review

NPPES record last updated: May 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mac Cooper Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAC COOPER PTA (NPI 1831627710) is an individual physical medicine & rehabilitation provider in Salmon, Idaho, licensed in Idaho (PTA5126) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831627710
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMAC COOPERCredential: PTA
Location Address802 SHOUP STSalmon, ID 83467-4305
Mailing AddressPo Box 1107Salmon, ID 83467-1107 · (208) 756-2005
Fax(208) 756-4020
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 23, 2017
NPI 1831627710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in ID · PTA5126
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
802 SHOUP ST, Salmon, ID 83467

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mac Cooper Pta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840561239
PECOS Enrollment IDI20250917002287
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
802 SHOUP ST
SALMON, ID 83467
Physical Therapist
802 SHOUP ST
SALMON, ID 83467
Physical Therapist
802 SHOUP ST
SALMON, ID 83467
Physical Therapist
802 SHOUP ST
SALMON, ID 83467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mac Cooper's NPI number?

The NPI number for Mac Cooper is 1831627710. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Mac Cooper located?

Mac Cooper practices at 802 Shoup St, Salmon, ID 83467. The listed phone number is (208) 756-2005.

What is Mac Cooper's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Mac Cooper enrolled in Medicare?

Yes. Mac Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mac Cooper was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.