Clint Cook, OTD, OTR/L, CLT-UE

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4740 Pearl Pkwy Ste 300
Boulder, CO 80301-3080

Phone

(303) 442-2666

NPI assigned

Aug 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wray Community District Hospital

  • General Practice Physician
  • Wray, CO
  • NPI 1477587202
  Medicare reassignment NPD
• Bouldercentre for Orthopedics PC

  • Orthopaedic Surgery Physician
  • Boulder, CO
  • NPI 1336197631
  NPD
• Wray Community District Hospital

  • Critical Access Hospital
  • Wray, CO
  • NPI 1083640239
  NPD
• Bouldercentre for Orthopedics

  • Physical Therapist
  • Boulder, CO
  • NPI 1952427049
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1063060135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13047 KING CIR",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205258",
            "telephone_number": "720-383-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 PEARL PKWY STE 300",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013080",
            "telephone_number": "303-442-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CLINT",
        "credential": "OTD, OTR/L, CLT-UE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Theresa Conversano, LPC
• David J Conyers, M.D.
• Nancy Conyers
• Angela S. Cook, MSPT
• Christopher Stephen Cook, M.S.P.T.
• Ella Cook, NP
• Michael Cook
• Rachel Natalya Cooke, PA-C
• Carmen Crystal Cool, M.A., L.P.C.
• Jessica Fern Cooley, MS

• Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.