Deborah Lee Cooke, P.T., PHD

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

0556 Issued in MO

Practice address

3100 Broadway St
Suite 507
Kansas City, MO 64111-2658

Phone

(816) 679-7056

Fax

(816) 931-7392

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Balance & Neurological Rehabilitation

  • Neurology Physical Therapist
  • Kansas City, MO
  • NPI 1760570717
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326134347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY",
            "address_2": "SUITE 507",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-679-7056",
            "fax_number": "816-931-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BROADWAY ST",
            "address_2": "SUITE 507",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112658",
            "telephone_number": "816-679-7056",
            "fax_number": "816-931-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "credential": "P.T., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MO",
            "license": "0556",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "KS",
            "license": "11-02878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "32911028",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "399054",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siara Cook
• Stephanie Marie Cook, RN
• Tarah Lynne Cook, MD
• Walter James Cook, DDS
• Catherine Cooke, APRN
• Joanne Lee Cooke, MS,RD,LD,CSR
• Akwila M Cooks, LMSW
• Cookson & Hansen, DDS, PC
• Tara Lynn Cookson, MD
• Teresa Anne Cooley Bennett, LCSW, LSCSW, CCDP-D

• Neurology Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Neurology Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.