Heather Faye Despres Cook, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006545 Issued in MI

Practice address

1840 Wealthy St SE FL 5
Grand Rapids, MI 49506-2921

Phone

(616) 774-3833

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Heather Faye Despres Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1083104020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 32ND ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092806",
            "telephone_number": "616-498-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WEALTHY ST SE FL 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062921",
            "telephone_number": "616-774-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPRES COOK",
        "first_name": "HEATHER",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DESPRES",
            "middle_name": "FAYE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aashish A Deshpande, MD
• Charles L Desibour, MD
• Murambya Desire
• Erin Desmet, MSW
• Rebecca Joy Desouza, BEHAVIOR TECHNICIAN
• Nancy Louise Despres
• Ashley Jean Desrocher, N.P.
• Alaina Dessert, CTRS
• Polly Carole Destigter
• Destinee's Cleaning LLC Dba Destinee's Compassionate Cleaning

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.