Active NPI
Lacraig Cook, RKT
- Kinesiotherapist
- Glenn Heights, TX
National Provider Identifier
1003277450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 800953163
- Practice address
- 1410 Bobwhite TRL
Glenn Heights, TX 75154-8446 - Phone
- (601) 324-9793
- NPI assigned
- Mar 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 800953163 | MS | Primary |
Addresses
Primary practice location
1410 Bobwhite TRL
Glenn Heights, TX 75154-8446
Mailing address
1410 Bobwhite TRL
Glenn Heights, TX 75154-8446
Phone (601) 324-9793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800953163 | MS | MD | Kinesiotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1003277450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 BOBWHITE TRL",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "751548446",
"telephone_number": "601-324-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 BOBWHITE TRL",
"city": "GLENN HEIGHTS",
"state": "TX",
"postal_code": "751548446",
"telephone_number": "601-324-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "LACRAIG",
"credential": "RKT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "MS",
"license": "800953163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.