Individual provider Active NPI

Amanda Jean Cook, PT, DPT PT25782

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1285883645
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25782 Issued in FL
Practice address
3260 Lake Pointe Blvd
Sarasota, FL 34231-6896
Phone
(941) 929-2400
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 017096 OH
Physical Therapist 225100000X PT25782 FL Primary

Addresses

Primary practice location

3260 Lake Pointe Blvd
Sarasota, FL 34231-6896

Mailing address

103 18TH St NE
Bradenton, FL 34208-1428
Phone (941) 243-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230524001880 FL Practitioner - Physical Therapist in Private Practice 8325404908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25782FLMDPhysical Therapist
PT 017096OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Florida Rehability at Home, LLC Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Apr 16, 2023 Accepting new patients
Paul Kroh Inc Physical Therapist Past Accepting new patients

Locations

5424 Lena Rd
Lakewood Ranch, FL 34211
Phone (850) 380-4657

3260 Lake Pointe Blvd
Sarasota, FL 34231
Phone (941) 306-3739

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1285883645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 18TH ST NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081428",
            "telephone_number": "941-243-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 LAKE POINTE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316896",
            "telephone_number": "941-929-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "PT, DPT PT25782",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 017096",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.