Active NPI
Earl Grayson Cook, MSPT, OCS, CSCS
- Physical Therapist
- Chatham, VA
National Provider Identifier
1144523101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305005400
- Practice address
- 47 Depot Street
Chatham, VA 24531-3352 - Phone
- (434) 432-0028
- Fax
- (434) 432-0062
- NPI assigned
- Dec 14, 2010
- Last updated
- Apr 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305005400 | VA | Primary |
| Physical Therapist | 225100000X | 4747 | NC |
Addresses
Primary practice location
47 Depot Street
Chatham, VA 24531-3352
Mailing address
1212 Garfield Ave
Suite 200
Parkersburg, WV 26101-3247
Phone (304) 865-6778
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4747 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1144523101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 GARFIELD AVE",
"address_2": "SUITE 200",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261013247",
"telephone_number": "304-865-6778",
"fax_number": "304-865-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 DEPOT STREET",
"city": "CHATHAM",
"state": "VA",
"postal_code": "245313352",
"telephone_number": "434-432-0028",
"fax_number": "434-432-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "EARL",
"middle_name": "GRAYSON",
"credential": "MSPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-14",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305005400",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4747",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatham, VA
- Nakindra Coates
- Commonwealth of VA State Board of Health (Pittsylvania County Health Department)
- Commonwealth Pharmacy Chatham
- Commonwealth Pharmacy Chatham Inc (Commonwealth Pharmacy Chatham)
- Commonwealth Pharmacy, Inc
- Tanner Len Cooke, PT, DPT
- Jobina Crews
- Deborah S Crowe, MS
- Danville Diagnostic Imaging Center, LLC (Chatham Diagnostic Imaging Center)
- Divine Minds LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.