Carrie R. Cook, PT
Individual provider Active NPI Geriatric Physical Therapist · Golden, IL
NPI 1457546277 · NPPES record last updated Sep 15, 2007
Key facts
- NPI
- 1457546277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 070004200 (IL)
- Practice address
- 101 Prairie Mills Rd
Golden, IL 62339-1016 - Phone
- (217) 696-4421
- Fax
- (217) 696-4393
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 070004200 | IL | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremark Rehab, LTD. | Geriatrics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 070004200 | IL | Yes |
Addresses
Primary practice location
101 Prairie Mills Rd
Golden, IL 62339-1016
Mailing address
2834 N 2200TH Ave
Clayton, IL 62324-2312
Phone (217) 696-4881
Other providers in Golden, IL
- Blessing Hospital
- Caremark Rehab, LTD.
- Denman Country Drug
- Richlyn Laramie Frakes
- Golden Good Shepherd Home
- Amy Graves
- Holly Jo Henderson
All providers in Golden, IL · Geriatric Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2007. 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.