Cameron Tyler Cooper, PT, DPT
NPI 1144714551ActiveIndividual· Physical Therapist· Plymouth, MN
Physical Therapist (PT, DPT) with Park Nicollet Clinic and 1 other group, practicing in Plymouth, Minnesota. Medicare paid $4,280 for services to 27 patients in 2024.
Overview
| NPI | 1144714551 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 19, 2018 |
| Last updated in NPPES | Jun 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11080 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 188 across 7 procedure codes |
| Paid by Medicare | $4,280 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
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