Active NPI
Marian Cook, OTR/L
- Occupational Therapist
- Black MTN, NC
National Provider Identifier
1487037495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1765
- Practice address
- 611 Old US Hwy 70E
Mountain Ridge Skilled Nursing
Black MTN, NC 28711 - Phone
- (828) 669-9991
- NPI assigned
- Jul 8, 2015
- Last updated
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1765 | NC | Primary |
Addresses
Primary practice location
611 Old US Hwy 70E
Mountain Ridge Skilled Nursing
Black MTN, NC 28711
Mailing address
PO Box 2215
257 East Main Street
Old Fort, NC 28762
Phone (828) 668-1711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1487037495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2215",
"address_2": "257 EAST MAIN STREET",
"city": "OLD FORT",
"state": "NC",
"postal_code": "28762",
"telephone_number": "828-668-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 OLD US HWY 70E",
"address_2": "MOUNTAIN RIDGE SKILLED NURSING",
"city": "BLACK MTN",
"state": "NC",
"postal_code": "28711",
"telephone_number": "828-669-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MARIAN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "1765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Black MTN, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.