Individual provider Active NPI

Debra K Cooke, MS, PT

  • Rehabilitation Clinic/Center
  • Morgantown, WV
National Provider Identifier
1508905613
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
001082 Issued in WV
Practice address
1212 Van Voorhis Rd Ste 1
Morgantown, WV 26505-3530
Phone
(304) 685-0617
Fax
(304) 566-1152
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 001082 WV Primary

Addresses

Primary practice location

1212 Van Voorhis Rd Ste 1
Morgantown, WV 26505-3530

Mailing address

486 Blackberry Ridge Dr
Morgantown, WV 26508-4869
Phone (304) 598-2212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218000208 WV Practitioner - Physical Therapist in Private Practice 1153816020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1212 Van Voorhis Rd
Suite C
Morgantown, WV 26505-0286

486 Blackberry Ridge Dr
Morgantown, WV 26508-4869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001082WVMDRehabilitation Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
House Call Rehab LLC CurrentSince Jul 7, 2025 Accepting new patients
Dynamic Physical Therapy, Inc PastSince Oct 10, 2003 Accepting new patients
Monongalia Physical Therapy Services, LTD. Past Accepting new patients

Locations

1212 Van Voorhis Rd
Ste 1
Morgantown, WV 26505
Phone (304) 685-0590

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1508905613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 BLACKBERRY RIDGE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084869",
            "telephone_number": "304-598-2212",
            "fax_number": "304-598-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 VAN VOORHIS RD STE 1",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053530",
            "telephone_number": "304-685-0617",
            "fax_number": "304-566-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "DEBRA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WV",
            "license": "001082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.