Active NPI
Joshua Cook, PTA
- Physical Therapy Assistant
- Sherman Oaks, CA
National Provider Identifier
1124776448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51235
- Practice address
- 4955 Van Nuys Blvd Ste 317
Sherman Oaks, CA 91403-1821 - Phone
- (881) 899-0953
- Fax
- (818) 990-9546
- NPI assigned
- Mar 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51235 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd Ste 317
Sherman Oaks, CA 91403-1821
Mailing address
25115 Avenue Stanford Ste B135
Valencia, CA 91355-1290
Phone (661) 250-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1124776448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25115 AVENUE STANFORD STE B135",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551290",
"telephone_number": "661-250-9940",
"fax_number": "661-250-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD STE 317",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031821",
"telephone_number": "881-899-0953",
"fax_number": "818-990-9546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JOSHUA",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.