Healthcare Provider Details

I. General information

NPI: 1215843255
Provider Name (Legal Business Name): COOPER GREEN REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 6TH AVE S FL 4
BIRMINGHAM AL
35233-1601
US

IV. Provider business mailing address

1515 6TH AVE S FL 4
BIRMINGHAM AL
35233-1601
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-3600
  • Fax:
Mailing address:
  • Phone: 205-930-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA HURST
Title or Position: CEO
Credential:
Phone: 205-930-3301