Organization Active NPI

Cook Chiropractic & Rehabilitation PC

  • Chiropractor
  • Indiana, PA
National Provider Identifier
1144274556
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007584L Issued in PA
Legal business name
COOK CHIROPRACTIC & REHABILITATION PC
Practice address
266 S 7TH St
Ste B
Indiana, PA 15701-2946
Phone
(724) 465-9160
Fax
(724) 465-9161
NPI assigned
May 20, 2006
Last updated
Jun 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Scott R Cook, DCNPI 1194786889
Title
Owner President Doctor
Phone
(724) 465-9160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007584L PA Primary

Addresses

Primary practice location

266 S 7TH St
Ste B
Indiana, PA 15701-2946

Mailing address

266 S 7TH St
Ste B
Indiana, PA 15701-2946
Phone (724) 465-9160

Other identifiers 3

IdentifierTypeStateIssuer
121705OtherPAHIGHMARK
000333435OtherPABLUE SHIELD
0017811820002MedicaidPA

Other names 1

  • Cook Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080611000307 PA Part B Supplier - Clinic/Group Practice 9638240161 Receives reassigned benefits from 1 practitioner
Practice locations: Indiana, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1144274556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S 7TH ST",
            "address_2": "STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012946",
            "telephone_number": "724-465-9160",
            "fax_number": "724-465-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S 7TH ST",
            "address_2": "STE B",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012946",
            "telephone_number": "724-465-9160",
            "fax_number": "724-465-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK CHIROPRACTIC & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT DOCTOR",
        "authorized_official_telephone_number": "724-465-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007584L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "121705",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000333435",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017811820002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cook Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.