CAMERON TYLER COOPER (PT, DPT) – Physical Therapist, NPI 1144714551

CAMERON TYLER COOPER (PT, DPT) is a healthcare provider. based in New market, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 11080 (MN). The NPI Number for CAMERON TYLER COOPER (PT, DPT) is 1144714551

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON TYLER COOPER (PT, DPT)
NPI
1144714551
Phone
(952) 215-8721
Address
511 SAXON DR
Enumeration Date
19 June 2018
Last Update Date
19 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2018 (8 years ago)
PAC ID
4789930421
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20180710003269
Address ID
MN554264361ST3741XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for CAMERON TYLER COOPER (PT, DPT)

  • 511 SAXON DR

    NEW MARKET, MN 550544712

    Phone: (952) 215-8721

    Type: Mailing

  • 4155 COUNTY ROAD 101 N STE 1

    PLYMOUTH, MN 554462307

    Phone: (952) 993-8900

    Type: Location

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: 2018-07-10

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
I20180710003269IPhysical Therapist In Private PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14449$0
97161Evaluation for physical therapy, typically 20 minutes3837$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2819$0
View full utilization report →

Insurance plans in this area (ZIP 55054)

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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: 3173570561View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN

Reviews

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Frequently asked questions

Does CAMERON TYLER COOPER (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CAMERON TYLER COOPER (PT, DPT) uses 1144714551.
Can I rely on CAMERON TYLER COOPER (PT, DPT) being an active provider?
As of the registry snapshot, CAMERON TYLER COOPER (PT, DPT) is marked active.
What taxonomy line describes CAMERON TYLER COOPER (PT, DPT)?
For research purposes, treat CAMERON TYLER COOPER (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for CAMERON TYLER COOPER (PT, DPT)?
CAMERON TYLER COOPER (PT, DPT)'s geographic hint is New Market, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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