Jessica Lynn Cool, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

12146A Issued in AZ

Practice address

3150 N Winding Brook Rd
Flagstaff, AZ 86001-0972

Phone

(928) 774-7106

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1720439300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N 6TH AVE APT 7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031532",
            "telephone_number": "480-274-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N WINDING BROOK RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010972",
            "telephone_number": "928-774-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "12146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cook, MPH
• Sara L Cook, M.D.
• Cooke Inc., Dba Home Helpers
• Damian Cooke, RBT
• Rebecca L Cooke, N.M.D.
• Jill Marie Cooney, MED, BCBA, LBA
• Kristine Cara Coons, M.S.
• Jerrad Cooper, LPC
• Dunya Cope, LPC
• Rhonda Corcoran, RPH

• Physical Therapy Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.