JENNA COOPER HAGEN (DPT) – Physical Therapist, NPI 1740652551

JENNA COOPER HAGEN (DPT) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 012101 (GA). The NPI Number for JENNA COOPER HAGEN (DPT) is 1740652551

Main info

Female
11 Years Of Experience
Name
JENNA COOPER HAGEN (DPT)
NPI
1740652551
Phone
Not provided
Address
5975 ROSWELL RD
Enumeration Date
21 October 2015
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043039153
Graduation Year
2015 (11 years ago)
PAC ID
4183981624
Group Practice PAC ID
6204193733
Professional Enrollment ID
I20171207003425
Address ID
GA303284086SA5975XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for JENNA COOPER HAGEN (DPT)

  • 5975 ROSWELL RD

    SUITE C-333

    ATLANTA, GA 303284048

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171207003425IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204193733View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL
-GA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Where can patients find JENNA COOPER HAGEN (DPT)'s NPI?
You can confirm JENNA COOPER HAGEN (DPT) with NPI 1740652551; it appears in the national provider directory.
Does this profile mean JENNA COOPER HAGEN (DPT) is currently active?
Yes — JENNA COOPER HAGEN (DPT) appears active in the national provider directory.
Can you summarize JENNA COOPER HAGEN (DPT)'s specialty in plain language?
Clinically, the directory lists JENNA COOPER HAGEN (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNA COOPER HAGEN (DPT)?
The page summarizes Atlanta, Georgia for JENNA COOPER HAGEN (DPT); expand the address list for detail.
How can I contact JENNA COOPER HAGEN (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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