Individual provider Active NPI

Jon Ross Cook, PT

  • Specialist
  • Clarkdale, AZ
National Provider Identifier
1730135567
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6462 Issued in AZ
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

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
CPG Physical Therapy & Healthcare Consulting CurrentSince Oct 21, 2025 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.

FacilityTypeRoleSince
Rehabilitation Hospital of Northern ArizonaFlagstaff, AZ, CCN 033041 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.

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.

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

Verify at the official NPI Registry.