Jerry A Cook, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11248 Issued in FL

Practice address

17222 Hospital Blvd
Suite 346
Brooksville, FL 34601-8925

Phone

(352) 593-5963

Fax

(352) 593-5970

NPI assigned

Oct 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1295162188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-593-5963",
            "fax_number": "352-593-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 346",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-593-5963",
            "fax_number": "352-593-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JERRY",
        "middle_name": "A",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY STATE LICENSE",
            "identifier": "OT11248",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Ann Compton, RPH
• Dylan McKinnon Connell
• A. Elise Conroy Kegley, PHD
• Luis Jorge Contreras, M.D.
• Pamela Estela Contreras
• Ryan Cook
• Coppedge and Wooster PA
• Coppedge Eyecare, LLC
• John Casey Coppedge, O.D.
• John Hill Coppedge Jr., OD

• Occupational Therapist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.