Jordan Spencer Cook, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL5628 Issued in FL

Practice address

9726 Touchton Rd Ste 104
Jacksonville, FL 32246-8305

Phone

(904) 421-1221

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cora Health Services Inc

  dba CORA Physical Therapy - Tinseltown

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1972989630
  NPD (past)
• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1144877531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 4TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 TOUCHTON RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468305",
            "telephone_number": "904-421-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JORDAN",
        "middle_name": "SPENCER",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL5628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR ATHLETIC TRAINING (BOC)",
            "identifier": "BOC340609",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cook, ARNP-C
• Erica S Cook, PHARM D
• Ernest R Cook, RN
• Haley Cook, CAA
• Jacqueline Lacouture Cook
• Kimberly Cook
• Laura Cook
• Lisa R Cook, C.R.N.A.
• Melissa Danielle Cook, BA
• Nichole R Cook, PA-C

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.