Individual provider Active NPI

Mary Frances Cook, PT, LAC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1730100090
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7706 Issued in GA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC 117GAMDAcupuncturist
PT 7706GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.