Active NPI
Jeffrey Scott Cook, DPT, OMPT
- Physical Therapist
- Grand Ledge, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015822
- Practice address
- 615 S Clinton St
Grand Ledge, MI 48837-2355 - Phone
- (517) 709-4677
- Fax
- (517) 897-5667
- NPI assigned
- Feb 24, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 5501015822 | MI | Primary |
Addresses
Primary practice location
615 S Clinton St
Grand Ledge, MI 48837-2355
Mailing address
2380 Cedar St.
Suite 203
Holt, MI 48842
Phone (517) 709-4677
Other practice location 1
2380 Cedar St Ste 203
Holt, MI 48842-2211
Phone (517) 709-4677
Other practice location 2
3315 E Michigan Ave Ste 6
Lansing, MI 48912-4600
Phone (517) 709-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120803000194 | MI | Practitioner - Physical Therapist in Private Practice | 1153577366 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Ryan and Monica Wohlfert, PC | Past | Accepting new patients |
Locations
615 S Clinton St
Grand Ledge, MI 48837
Phone (517) 709-4677
2380 Cedar St
Ste 203
Holt, MI 48842
Phone (517) 709-4677
751 S Latson Rd
Apt C
Howell, MI 48843
Phone (517) 709-4677
3315 E Michigan Ave
Ste 6
Lansing, MI 48912
Phone (517) 709-4677
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.
-
- Chiropractor
- Lansing, MI
- NPI 1952478125
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Rehabilitation
Practice addresses (Care Compare)
2380 Cedar St
Suite 203
Holt, MI 48842-2211
Phone (517) 709-4677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1295009199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2380 CEDAR ST.",
"address_2": "SUITE 203",
"city": "HOLT",
"state": "MI",
"postal_code": "48842",
"telephone_number": "517-709-4677",
"fax_number": "517-798-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S CLINTON ST",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488372355",
"telephone_number": "517-709-4677",
"fax_number": "517-897-5667"
}
],
"practiceLocations": [
{
"address_1": "2380 Cedar St Ste 203",
"address_purpose": "LOCATION",
"city": "Holt",
"state": "MI",
"postal_code": "488422211",
"country_code": "US",
"telephone_number": "517-709-4677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3315 E Michigan Ave Ste 6",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489124600",
"country_code": "US",
"telephone_number": "517-709-4677",
"fax_number": "517-798-5667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"credential": "DPT, OMPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-24",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Ledge, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.