Tanner Len Cooke, PT, DPT
Individual provider Active NPI Physical Therapist · Chatham, VA
NPI 1295354587 · NPPES record last updated Feb 4, 2024
Key facts
- NPI
- 1295354587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305213811 (VA)
- Practice address
- 10736 Anderson Mill Rd
Chatham, VA 24531-4720 - Phone
- (434) 238-5869
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Therapies of Roanoke, Inc.
Practice addresses (Care Compare)
165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200826000267 | VA | Practitioner - Physical Therapist in Private Practice | 9537586391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapies of Roanoke, Inc. | Current |
Accepting new patients | |
| Professional Therapies of Roanoke, Inc. | Physical Therapist | Current |
Accepting new patients |
| Dogwood Health & Physio, PLLC | Current |
Accepting new patients |
Locations
21371 Forsythe Rd
Bristol, VA 24202
Phone (276) 209-6609
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305213811 | VA | Yes |
Addresses
Primary practice location
10736 Anderson Mill Rd
Chatham, VA 24531-4720
Mailing address
10736 Anderson Mill Rd
Chatham, VA 24531-4720
Phone (434) 238-5869
Other providers in Chatham, VA
- Commonwealth of VA State Board of Health
- Commonwealth Pharmacy Chatham
- Commonwealth Pharmacy Chatham Inc
- Commonwealth Pharmacy, Inc
- Earl Grayson Cook
- Jobina Crews
- Deborah S Crowe
- Danville Diagnostic Imaging Center, LLC
- Divine Minds LLC
- Dogwood Health & Physio, PLLC
All providers in Chatham, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.