Active NPI
Mary Frances Cook, PT, LAC
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1730100090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 7706
- Practice address
- 1530 Dekalb Ave NE
Suite C
Atlanta, GA 30307-2176 - Phone
- (404) 444-7160
- Fax
- (404) 996-2605
- NPI assigned
- Jul 22, 2006
- Last updated
- Nov 16, 2015
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 117 | GA | |
| Physical Therapist | 225100000X | PT 7706 | GA | Primary |
Addresses
Primary practice location
1530 Dekalb Ave NE
Suite C
Atlanta, GA 30307-2176
Mailing address
PO Box 5492
Atlanta, GA 31107
Phone (404) 444-7160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 117 | GA | MD | Acupuncturist |
| PT 7706 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Body Clinic Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Atlanta, GA
- NPI 1306019674
-
- Physical Therapist
- Bradenton, FL
- NPI 1225143738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1730100090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5492",
"city": "ATLANTA",
"state": "GA",
"postal_code": "31107",
"telephone_number": "404-444-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 DEKALB AVE NE",
"address_2": "SUITE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303072176",
"telephone_number": "404-444-7160",
"fax_number": "404-996-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MARY",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "PT, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "GA",
"license": "AC 117",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT 7706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.