Tricia Marie Cook, P.T.
Individual provider Active NPI Physical Therapist · Peru, IL
NPI 1447371398 · NPPES record last updated Jun 15, 2017
Key facts
- NPI
- 1447371398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 07007790 (IL)
- Practice address
- 2011 Rock St
Suite E
Peru, IL 61354-1385 - Phone
- (815) 220-0058
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 07007790 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 07007790 | IL | Yes |
Addresses
Primary practice location
2011 Rock St
Suite E
Peru, IL 61354-1385
Mailing address
625 Enterprise Dr.
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. 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.