Cook Rehabilitation Medicine LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

04-38402 Issued in KS

Legal business name

COOK REHABILITATION MEDICINE LLC

Practice address

8338 W 13TH St N
Medical Director
Wichita, KS 67212-2900

Phone

(402) 432-9512

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jude Thomas Cook, M.D.

Title

Manager

Phone

(402) 432-9512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1104295393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 W 13TH ST N",
            "address_2": "MEDICAL DIRECTOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122900",
            "telephone_number": "402-432-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 W 13TH ST N",
            "address_2": "MEDICAL DIRECTOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122900",
            "telephone_number": "402-432-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK REHABILITATION MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-432-9512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-38402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah L Consolver
• Consumer Directed Services Inc.
• Consumer'S Pharmacy Inc
• Anais Contreras
• Molly Conyers, LMSW
• Austin Cook, MD
• Dennis J Cook, LMSW
• Elizabeth Ann Cook, PHARMD
• Frances B Cook, LSCSW
• Jude Cook, M.D.

• Physical Medicine & Rehabilitation Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Medicine & Rehabilitation Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.