Active NPI
Maria Teresa Trongco Bancolita-Cook, PT
- Physical Therapist
- Sterling Heights, MI
National Provider Identifier
1235188343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550100426
- Practice address
- 43648 Schoenherr Rd
Sterling Heights, MI 48313 - Phone
- (586) 604-9184
- Fax
- (800) 679-9769
- NPI assigned
- May 8, 2006
- Sex
- Female
- 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 | 550100426 | MI | Primary |
Addresses
Primary practice location
43648 Schoenherr Rd
Sterling Heights, MI 48313
Mailing address
43648 Schoenherr Rd
Sterling Heights, MI 48313-1113
Phone (248) 420-3395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235188343 | Medicaid | MI |
Other names 1
- Tess Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
43648 Schoenherr Rd
Sterling Heights, MI 48313-1113
Phone (586) 604-9184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550100426 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Fast Track Physical Therapy & Rehab Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
43648 Schoenherr Rd
Sterling Heights, MI 48313
Phone (248) 420-3395
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Sterling Heights, MI
- NPI 1174177190
Physical Therapist
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1235188343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43648 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131113",
"telephone_number": "248-420-3395",
"fax_number": "248-649-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43648 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48313",
"telephone_number": "586-604-9184",
"fax_number": "800-679-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANCOLITA-COOK",
"first_name": "MARIA TERESA",
"middle_name": "TRONGCO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "550100426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235188343",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TESS",
"last_name": "COOK",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.