Active NPI
Tyson Daniel Cook, DPT
- Physical Therapist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-4239
- Practice address
- 901 N Curtis Rd
Suite 204
Boise, ID 83706-1338 - Phone
- (208) 367-3315
- NPI assigned
- Nov 30, 2015
- Last updated
- Feb 21, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-4239 | ID | Primary |
Addresses
Primary practice location
901 N Curtis Rd
Suite 204
Boise, ID 83706-1338
Mailing address
7550 W Emerald St
Boise, ID 83704-9015
Phone (208) 314-5904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
203 12TH Ave Rd
Suite B
Nampa, ID 83686-5012
Phone (208) 936-8092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
| Freedom Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Institute of Physical Therapy and Fitness | Physical Therapist | Past | Accepting new patients |
| McCall Physical Therapy, P.a. | Physical Therapist | Past | Accepting new patients |
Locations
678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418
2005 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-0022
203 12th Ave Rd
#B
Nampa, ID 83686
Phone (208) 461-8200
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Nampa, ID
- NPI 1518649235
-
- Physical Therapist
- Boise, ID
- NPI 1073551560
-
- Physical Therapist
- Lewiston, ID
- NPI 1043392087
-
- Physical Therapist
- McCall, ID
- NPI 1750454104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1033583117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837049015",
"telephone_number": "208-314-5904",
"fax_number": "208-375-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N CURTIS RD",
"address_2": "SUITE 204",
"city": "BOISE",
"state": "ID",
"postal_code": "837061338",
"telephone_number": "208-367-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "TYSON",
"middle_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-30",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-4239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.