Active NPI
Debra K Cooke, MS, PT
- Rehabilitation Clinic/Center
- Morgantown, WV
National Provider Identifier
1508905613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 001082
- 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
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001082 | WV | MD | Rehabilitation Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House Call Rehab LLC | Current | Accepting new patients | |
| Dynamic Physical Therapy, Inc | Past | 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.
-
- Physical Therapist
- Morgantown, WV
- NPI 1487647004
-
- Physical Therapy Clinic/Center
- Morgantown, WV
- NPI 1871706259
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.