Susan Gerald Cook, PT
Individual provider Active NPI Physical Therapist · Monroe, GA
NPI 1295775955 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1295775955
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5588 (GA)
- Practice address
- 1045 Old Mill Trce
Monroe, GA 30656-4379 - Phone
- (770) 207-6390
- Fax
- (678) 374-4855
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5588 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activekidz and Adult Therapy Services | Past | Accepting new patients | |
| Activekidz and Adult Therapy Services | Past | Accepting new patients | |
| Activekidz and Adult Therapy Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5588 | GA | Yes |
Addresses
Primary practice location
1045 Old Mill Trce
Monroe, GA 30656-4379
Mailing address
1045 Old Mill Trce
Monroe, GA 30656-4379
Phone (770) 207-6390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000875102B | Medicaid | GA |
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.