Lisa Lorraine Cook, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06000350A Issued in IN

Practice address

2819 N Saint Joseph Ave
Evansville, IN 47720-1335

Phone

(812) 424-2941

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235346289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SCHAEFFER RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477207492",
            "telephone_number": "812-963-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 N SAINT JOSEPH AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477201335",
            "telephone_number": "812-424-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LISA",
        "middle_name": "LORRAINE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06000350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consolidated Behavioral Health Services, Inc
• Cook Orthodontics, P.C.
• Theresa Colleen Cook-Prow
• Devon R. Cook, D.D.S., M.D.S.
• Jessica Denise Cook, PT, DPT
• Meredith Cook, RN
• Mikhayla Cook, PTA
• Steven W Cook, CRNA
• Thomas Lynn Cook, M.D.
• Phyllis J Cooling, CSW

• Physical Therapy Assistant in Evansville, IN
• Providers in Evansville, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.