Active NPI
Curtis Cookingham, PT
- Physical Therapist
- Clovis, CA
National Provider Identifier
1154449437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15197
- Practice address
- 221 W Fir Ave Apt 105
Clovis, CA 93611-0223 - Phone
- (559) 325-3444
- NPI assigned
- Mar 26, 2007
- 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 Therapist | 225100000X | PT15197 | CA | Primary |
Addresses
Primary practice location
221 W Fir Ave Apt 105
Clovis, CA 93611-0223
Mailing address
221 W Fir Ave Apt 105
Clovis, CA 93611-0223
Phone (559) 325-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040608000543 | CA | Practitioner - Physical Therapist in Private Practice | 5496737041 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 W Fir Ave
Suite 105
Clovis, CA 93611-0223
Phone (559) 325-3411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT15197 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
221 W Fir Ave
Ste 105
Clovis, CA 93611
Phone (559) 325-3411
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1154449437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W FIR AVE APT 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110223",
"telephone_number": "559-325-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W FIR AVE APT 105",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936110223",
"telephone_number": "559-325-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKINGHAM",
"first_name": "CURTIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT15197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.