NPIMap

Organization Active NPI

Cookeville Regional Medical Center

Doing business as Cookeville Regional Medical Center Inpatient Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Cookeville, TN
National Provider Identifier
1639293483
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0000000095 Issued in TN
Legal business name
COOKEVILLE REGIONAL MEDICAL CENTER
Doing business as
Cookeville Regional Medical Center Inpatient Rehabilitation Center
Practice address
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone
(931) 783-2850
Fax
(931) 783-2855
NPI assigned
Mar 19, 2007
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COOKEVILLE REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Marilyn C Key
Title
Ceo
Phone
(931) 783-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0000000095 TN Primary

Addresses

Primary practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Mailing address

1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2850

Other names 1

  • Cookeville Regional Medical Center Inpatient Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040921001310 TN Part B Supplier - Clinic/Group Practice 7810805736 Receives reassigned benefits from 153 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cookeville, TN
O20070412000501 TN Part A Provider - Hospital 7810805736 Practice locations: Cookeville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639293483. Details of each certification follow.

Hospital certification: CCN 44T059

Legal name
COOKEVILLE REGIONAL MEDICAL CENTER
Doing business as
COOKEVILLE REGIONAL MEDICAL CENTER INPATIENT REHABILITATION CENTER
Organization structure
OtherNon-profit
Enrollment address
1 Medical Center Blvd
Cookeville, TN 38501-4294
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
The Rehab Center at Cookeville RMCCCN 44T059 · All quality measures
Ownership
Government
Certified
Jul 1, 2003

National Provider Directory

National Provider Directory
Part of
Cookeville Gen Hosp-DME

Locations

127 N Oak Ave
#A
Cookeville, TN 38501
Phone (931) 783-2361

145 W 4th St
Cookeville, TN 38501
Phone (931) 783-2143

145 W 4th St
Ste 102
Cookeville, TN 38501
Phone (931) 646-2799

228 W 4th St
Ste 101
Cookeville, TN 38501
Phone (931) 783-2155

337 N Cedar Ave
Cookeville, TN 38501
Phone (931) 528-5578

400 Dubois Rd
#11
Cookeville, TN 38501
Phone (931) 520-7747

435 N Cedar Ave
Cookeville, TN 38501
Phone (931) 526-6100

131 S Webb Ave
Crossville, TN 38555
Phone (931) 484-5379

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Justin David Cumby Individual Corporate DirectorBoard Member Oct 1, 2025
Alma Anderson Individual Corporate DirectorBoard Member Oct 24, 2022
Scott Anthony Copeland Individual Corporate DirectorBoard Member Oct 24, 2022
Bert E Geer Individual Corporate DirectorBoard Member Aug 1, 2024
Joseph Paul Albrecht Individual Corporate DirectorBoard Member Aug 1, 2025
Marilyn C Key Individual Corporate OfficerCeo May 1, 2023
W-2 Managing EmployeeCeo May 1, 2023
Operational/Managerial ControlCeo May 1, 2023
Danny Rader Individual Corporate DirectorBoard Member Aug 1, 2020
Laurin R Wheaton Individual Corporate DirectorBoard Member Oct 24, 2022
Jack W Carey Individual Corporate DirectorBoard Member Oct 1, 2025
Randel Wallace Individual Corporate DirectorBoard Member Aug 1, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 163

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 163

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1639293483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2850",
            "fax_number": "931-783-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2850",
            "fax_number": "931-783-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKEVILLE REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOKEVILLE REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-783-2481"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "TN",
            "license": "0000000095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cookeville Regional Medical Center Inpatient Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cookeville Regional Medical Center Inpatient Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.