BROOKE ROSE COOPER, PT, DPT — NPI 1225706153 (Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers

CMS-1500 Box 24J / 33a • NPI

1225706153

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225100000X (CMS 65)

Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist

Box 32 Service Location & ZIP+4

2822 JACKSON BLVD STE 202, RAPID CITY, SD, 57702-3497

✓ 9-Digit EDI 837 ZIP+4 (57702-3497)

Practice Phone & Referral Fax

(605) 503-7080

Fax: (605) 503-7081

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225706153 (BROOKE ROSE COOPER, PT, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1225706153)

Medicare Beneficiaries

Total Billed Services

259

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$7,746.34

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`97110`	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	70

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1225706153` (NPI-1 Individual Practitioner)
Provider / Legal Name	BROOKE ROSE COOPER, PT, DPT
Plain-English Specialty	Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: `225100000X` (Physical Therapist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2822 JACKSON BLVD STE 202, RAPID CITY, SD, 57702-3497
Practice Telephone / Fax	Tel: (605) 503-7080 \| Fax: (605) 503-7081
Administrative Mailing Address	511 NATIONAL ST STE 104, BELLE FOURCHE, SD, 57717-1813
Enumeration & Last Sync	Enumerated: 2021-09-03 \| CMS Record Updated: 2026-06-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2822 JACKSON BLVD STE 202, RAPID CITY, SD, 57702-3497

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Plain-English Taxonomy & CMS Crosswalk (225100000X)

What Does Taxonomy Code 225100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BROOKE ROSE COOPER, PT, DPT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: HI \| License: `PT-5284` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: VA \| License: `CP043999T` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: TN \| License: `14695` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: SD \| License: `6038` \| Primary: Yes (Primary)
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: MO \| License: `2022009472` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: OR \| License: `65060` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: OR \| License: `Verified` \| Primary: Secondary
`225100000X` — Physical Therapist Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist	State: TX \| License: `1347568` \| Primary: Secondary

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BROOKE ROSE COOPER, PT, DPT (NPI #1225706153)