Active NPI
Evan Cooke, D.P.T
- Physical Therapist
- Ocoee, FL
National Provider Identifier
1215312061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29785
- Practice address
- 2706 Rew Cir
Suite 200
Ocoee, FL 34761-4215 - Phone
- (407) 614-8337
- NPI assigned
- Jul 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 29785 | FL | Primary |
Addresses
Primary practice location
2706 Rew Cir
Suite 200
Ocoee, FL 34761-4215
Mailing address
3300 Clemwood Dr
Orlando, FL 32803-6904
Phone (727) 452-3393
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 |
|---|---|---|---|
| 29785 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1215312061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 CLEMWOOD DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328036904",
"telephone_number": "727-452-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 REW CIR",
"address_2": "SUITE 200",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614215",
"telephone_number": "407-614-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "EVAN",
"name_prefix": "Dr.",
"credential": "D.P.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-22",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.