Individual provider Active NPI

Keaton Cook

  • Physical Therapist
  • Martin, TN
National Provider Identifier
1497634265
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15870 Issued in TN
Practice address
104 Oxford St
Martin, TN 38237-2428
Phone
(731) 587-3422
NPI assigned
Aug 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15870 TN Primary

Addresses

Primary practice location

104 Oxford St
Martin, TN 38237-2428

Mailing address

302 College Heights St
Greenfield, TN 38230-1800
Phone (731) 819-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016004064 TN Practitioner - Physical Therapist in Private Practice 6103313622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arkansas College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamix Physical Therapy LLCGroup PAC ID 5193873933, 46 clinicians

Practice addresses (Care Compare)

104 Oxford St
Martin, TN 38237-2428
Phone (731) 587-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15870TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy LLC CurrentSince Apr 1, 2008 Accepting new patients
Dynamix Physical Therapy LLC Physical Therapist PastSince Jun 3, 2025 Accepting new patients

Locations

2035 E Shiloh Rd
Ste A
Corinth, MS 38834
Phone (662) 212-5250

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

309 Highway 641 N
Camden, TN 38320
Phone (731) 584-1722

973 Highway 51 N
Ste 16
Covington, TN 38019
Phone (901) 617-0100

470 Mall Blvd
Ste D
Dyersburg, TN 38024
Phone (731) 259-9995

405 N Front St
Greenfield, TN 38230
Phone (731) 678-0221

3095 Eastend Dr
Humboldt, TN 38343
Phone (731) 824-2221

529 High St
Huntingdon, TN 38344
Phone (731) 418-8100

117 Bowling Dr
Jackson, TN 38305
Phone (731) 300-2202

1314 S Highland Ave
Jackson, TN 38301
Phone (731) 891-6006

104 Oxford St
Martin, TN 38237
Phone (731) 587-3422

103 Main St S
Mc Kenzie, TN 38201
Phone (731) 393-0504

2060 Rhino Xing
Milan, TN 38358
Phone (731) 613-2214

8586 US Highway 51 N
Millington, TN 38053
Phone (901) 430-8100

1023 Mineral Wells Ave
Ste E
Paris, TN 38242
Phone (731) 333-3306

17760 US Highway 64
Ste A
Somerville, TN 38068

128 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 855-2221

1370 Rutledge Ln
Union City, TN 38261
Phone (731) 389-9800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1497634265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 COLLEGE HEIGHTS ST",
            "city": "GREENFIELD",
            "state": "TN",
            "postal_code": "382301800",
            "telephone_number": "731-819-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OXFORD ST",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382372428",
            "telephone_number": "731-587-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KEATON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.