Shannon Nicole Cooley, PT, DPT - Medicare Physical Therapy in Frederick, MD

Shannon Nicole Cooley, PT, DPT is a medicare enrolled "Physical Therapist" physician in Frederick, Maryland. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Maryland Sportscare And Rehab Llc, Nirschl Orthopaedic Center For Sportsmedicine And Joint Reconstruction and her current practice location is 5223 Buckeystown Pike Ste 158, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 662-6790.

Shannon Nicole Cooley is licensed to practice in Maryland (license number 28996) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437888724.

Contact Information

Shannon Nicole Cooley, PT, DPT
5223 Buckeystown Pike Ste 158,
Frederick, MD 21704-7535
(301) 662-6790
Not Available



Physician's Profile

Full NameShannon Nicole Cooley
GenderFemale
SpecialityPhysical Therapy
Experience2 Years
Location5223 Buckeystown Pike Ste 158, Frederick, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Nicole Cooley graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1437888724
  • Provider Enumeration Date: 06/10/2022
  • Last Update Date: 06/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931589207
  • Enrollment ID: I20220704000384

Medical Identifiers

Medical identifiers for Shannon Nicole Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437888724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 2305215071 (Virginia)Secondary
225100000XPhysical Therapist 28996 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Sportscare And Rehab Llc2860440427129
Nirschl Orthopaedic Center For Sportsmedicine And Joint Reconstruction872906542018

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Nicole Cooley allows following entities to bill medicare on her behalf.
Entity NameMaryland Sportscare & Rehab Llc
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1518951995
PECOS PAC ID: 2860440427
Enrollment ID: O20151113000065

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Nicole Cooley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Nicole Cooley, PT, DPT
9124 Charterhouse Rd,
Frederick, MD 21704-7327

Ph: (240) 446-4780
Shannon Nicole Cooley, PT, DPT
5223 Buckeystown Pike Ste 158,
Frederick, MD 21704-7535

Ph: (301) 662-6790

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