Serena Cook, PT, CEAS
Individual provider Active NPI Physical Therapist · Jay, FL
NPI 1265540934 · NPPES record last updated Nov 1, 2024
Key facts
- NPI
- 1265540934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 14114 Alabama St
Jay, FL 32565-1219 - Phone
- (448) 227-5840
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
14114 Alabama St
Jay, FL 32565-1219
Mailing address
4623 Pilgrim TRL
Molino, FL 32577-9541
Phone (850) 449-6240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH 4688 | Other | AL | ALABAMA LICENSE NUMBER |
| PT 14796 | Other | FL | LICENSE # |
Other providers in Jay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.