Active NPI
Jon Ross Cook, PT
- Specialist
- Clarkdale, AZ
National Provider Identifier
1730135567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6462
- Practice address
- 551 Everett LN
Clarkdale, AZ 86324-3726 - Phone
- (928) 202-7187
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6462 | AZ | Primary |
Addresses
Primary practice location
551 Everett LN
Clarkdale, AZ 86324-3726
Mailing address
551 Everett LN
Clarkdale, AZ 86324-3726
Phone (928) 202-7187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040831001503 | AZ | Practitioner - Physical Therapist in Private Practice | 4587639612 | Practice locations: Clarkdale, AZ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPG Physical Therapy & Healthcare Consulting | Current | Accepting new patients | |
| Senska Physical Therapy, Inc | Specialist | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rehabilitation Hospital of Northern Arizona | Hospital | W-2 Managing Employee | Jun 28, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital
- Flagstaff, AZ
- NPI 1316463276
W-2 Managing Employee
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 and National Provider Directory roles.
-
- Physical Therapist
- Clarkdale, AZ
- NPI 1285500280
-
- Specialist
- Cottonwood, AZ
- NPI 1861550873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1730135567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 EVERETT LN",
"city": "CLARKDALE",
"state": "AZ",
"postal_code": "863243726",
"telephone_number": "928-202-7187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 EVERETT LN",
"city": "CLARKDALE",
"state": "AZ",
"postal_code": "863243726",
"telephone_number": "928-202-7187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JON",
"middle_name": "ROSS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "6462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarkdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.