House Call Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOUSE CALL REHAB LLC

Practice address

1212 Van Voorhis Rd Ste 1
Morgantown, WV 26505-3530

Phone

(304) 685-0590

NPI assigned

Dec 16, 2019

Organization subpart

No

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

Authorized official

Name

Phillip C Cooke, MPTNPI 1104905504

Title

Owner

Phone

(304) 685-0590

Specialties & licenses 1

Addresses

Other names 1

• Phil Cooke Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

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

• Phillip Craig Cooke, MSPT

  • Physical Therapist
  • Morgantown, WV
  • NPI 1104905504

  WV

  Medicare reassignment Authorized official
• Debra K Cooke, MS, PT

  • Rehabilitation Clinic/Center
  • Morgantown, WV
  • NPI 1508905613

  WV

  Medicare reassignment NPD

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1104464635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BLACKBERRY RIDGE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084869",
            "telephone_number": "304-685-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 VAN VOORHIS RD STE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053530",
            "telephone_number": "304-685-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE CALL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-685-0590",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phil Cooke Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Host, M.S., LPC, CRC
• Lisa Kate Hostutler, PHARMD
• Ashley Hostuttler
• Kimberly Erin Hotlosz, CRC, LPC
• Kevin Hough
• Ronald Cleve House, DDS, MS
• Scott Dean House, RPH
• Atlee Houser, LICSW
• Christina Houston
• Tia Hovatter

• All providers in Morgantown, WV
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.