Active NPI
Deborah Cook, PT
- Specialist
- Myrtle Beach, SC
National Provider Identifier
1619904752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT39
- Practice address
- 3675 Spruce Dr
Myrtle Beach, SC 29577-5005 - Phone
- (843) 685-4981
- NPI assigned
- Jun 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT2399 | ME | |
| Specialist | 174400000X | MT39 | ME | Primary |
Addresses
Primary practice location
3675 Spruce Dr
Myrtle Beach, SC 29577-5005
Mailing address
3675 Spruce Dr
Myrtle Beach, SC 29577-5005
Phone (843) 685-4981
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007016 | Other | ME | BLUE CROSS BLUE SHIELD |
| MN4071 | Other | ME | HARVARD PILGRIM |
| 7966435 | Other | ME | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071102000269 | ME | Practitioner - Physical Therapist in Private Practice | 6002857885 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Preferred Therapy Outpatient Services of Me, LLC
Practice addresses (Care Compare)
30 Community Dr
Camden, ME 04843-2061
Phone (207) 230-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT39 | ME | MD | Specialist |
| 5122 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Therapy Outpatient Services of Me, LLC | Current | Accepting new patients | |
| Preferred Therapy Outpatient Services of Me, LLC | Current | Accepting new patients |
Locations
850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400
30 Community Dr
Camden, ME 04843
Phone (207) 230-6100
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.
-
- Physical Therapist
- Camden, ME
- NPI 1164285581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619904752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3675 SPRUCE DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775005",
"telephone_number": "843-685-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3675 SPRUCE DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775005",
"telephone_number": "843-685-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "DEBORAH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "PT2399",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "MT39",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "007016",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "MN4071",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "7966435",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.