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Mallory Catherine Cooper, CTRS

NPI 1962928606ActiveIndividual· Recreation Therapist· Fresno, CA

Recreation Therapist (CTRS) in Fresno, California, licensed in CA, with an NPI issued in August 2017.

Overview

NPI1962928606
StatusActive
Entity typeIndividual
CredentialCTRS
Sole proprietorYes
NPI issuedAug 15, 2017
Last updated in NPPESAug 15, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Recreation Therapist Primary225800000X69061CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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