Active NPI
Kassidy Lynn Cook, PT, DPT
- Physical Therapist
- Parker, CO
National Provider Identifier
1205661725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0020094
- Practice address
- 19501 E Mainstreet Ste 200
Parker, CO 80138-7408 - Phone
- (303) 479-3633
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- 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 | PTL.0020094 | CO | Primary |
Addresses
Primary practice location
19501 E Mainstreet Ste 200
Parker, CO 80138-7408
Mailing address
11352 S Birchwood St
Parker, CO 80138-5730
Phone (303) 895-9631
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020094 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Peg Therapies, LLC | Physical Therapist | Current | Accepting new patients |
Locations
19501 E Mainstreet
Ste 200
Parker, CO 80138
Phone (303) 479-3633
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1205661725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11352 S BIRCHWOOD ST",
"city": "PARKER",
"state": "CO",
"postal_code": "801385730",
"telephone_number": "303-895-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19501 E MAINSTREET STE 200",
"city": "PARKER",
"state": "CO",
"postal_code": "801387408",
"telephone_number": "303-479-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KASSIDY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.