Phillip Craig Cooke, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

486 Blackberry Ridge Dr
Morgantown, WV 26508-4869

Phone

(304) 685-0590

NPI assigned

Nov 4, 2006

Sex

Male

Sole proprietor

Yes

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 WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• House Call Rehab LLC

  • Physical Therapist
  • Morgantown, WV
  • NPI 1104464635
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1104905504",
    "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": "486 BLACKBERRY RIDGE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084869",
            "telephone_number": "304-685-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "PHILLIP",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Taylor Conte
• Kaitlyn Cook, PA-C
• Kyle Paul Cook, DO
• Linda L Cook, M.D.
• Debra K Cooke, MS, PT
• Coombs Family Chiropractic
• Bryan Coombs, D.C.
• Kelsey Rose Coombs
• Dakota Coon
• Christi Cooper-Lehki, D.O.

• Physical Therapist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.