Cookeville Chiropractic and Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 0000000945 Issued in TN

Legal business name

COOKEVILLE CHIROPRACTIC AND PHYSICAL THERAPY, P.C.

Practice address

132 S Lowe Ave
Cookeville, TN 38501-4701

Phone

(931) 526-3151

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela D. Schmitt-Matzen, P. T.

Title

Sec.-Tres.

Phone

(931) 526-3151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Tax ID family

Cookeville Chiropractic and Physical Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cookeville Chiropractic & Physical Therapy, P. C.

  • Chiropractor
  • Cookeville, TN
  • NPI 1891998274
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Michael Schmitt-Matzen, D.C.

  • Chiropractor
  • Cookeville, TN
  • NPI 1114068186
  Medicare reassignment NPD

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073715041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S LOWE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014701",
            "telephone_number": "931-526-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S LOWE AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014701",
            "telephone_number": "931-526-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE CHIROPRACTIC AND PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMITT-MATZEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SEC.-TRES.",
        "authorized_official_telephone_number": "931-526-3151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT 0000000945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Jean Cook, APRN
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• Cookeville Chiropractic & Physical Therapy, P. C.
• Cookeville Discount Pharmacy
• Cookeville Eye Specialists, PLLC
• Cookeville Hospitalist Group, PLLC
• Cookeville Medical Center PC
• Cookeville Neurology

• Physical Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.