Individual provider Active NPI

Landon Scott Cook, PT, DPT, ATC, CSCS

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1033649090
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3558 Issued in NV
Practice address
401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone
(702) 880-1515
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3558 NV Primary

Addresses

Primary practice location

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397

Mailing address

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 880-1515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316002153 WA Practitioner - Physical Therapist in Private Practice 8527330422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 NE Romance Hill Rd
Suite 101
Belfair, WA 98528-8315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3558NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy, Inc Single Specialty Current Accepting new patients
Stanwood-Camano Physical Therapy, PLLC Single Specialty CurrentSince Jan 31, 2026 Accepting new patients
Independent Physical Therapy, PC Single Specialty CurrentSince Oct 28, 2024 Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 101
Belfair, WA 98528
Phone (360) 275-6612

9612 270th St NW
Ste 103
Stanwood, WA 98292
Phone (360) 629-8043

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033649090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N BUFFALO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450397",
            "telephone_number": "702-880-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BUFFALO DR STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450397",
            "telephone_number": "702-880-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.