Natalie L Cooke, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003177 Issued in WV

Practice address

1605 Grand Central Ave
Vienna, WV 26105-1081

Phone

(304) 295-7290

Fax

(304) 295-5922

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natalie L Cooke LLCGroup PAC ID 4082911268, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natalie L Cooke LLC

  • Physical Therapist
  • Vienna, WV
  • NPI 1891160677
  Medicare reassignment Care Compare group NPD
• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1487668794

  Physical Therapist

  Medicare reassignment NPD
• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ripley, WV
  • NPI 1336483627
  NPD
• Mountain River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Williamstown, WV
  • NPI 1811594757
  NPD

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1720336183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "NATALIE",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022275",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720336183",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yale Conley
• Darcy M Conner, D.O.
• John T Conner II, DO
• Cook Chiropractic, PLLC
• Angela Rose Cook-Huffman, DDS
• Chad Copeland, MPT
• Laura Beth Coronato Watts
• Ashli Nicole Corra
• Jennifer Corra
• Chasity Cottrill

• Physical Therapist in Vienna, WV
• Providers in Vienna, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.