Individual provider Active NPI

Cole Cheripka

  • Physical Therapist
  • Columbia, MO
National Provider Identifier
1740178169
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2026020978 Issued in MO
Practice address
4004 Peach CT
Columbia, MO 65203-3800
Phone
(573) 256-8100
Fax
(573) 256-8104
NPI assigned
Jun 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2026020978 MO Primary
Physical Therapist 225100000X 070-029196 IL

Addresses

Primary practice location

4004 Peach CT
Columbia, MO 65203-3800

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

2900 Trimble Rd
Columbia, MO 65201-7179
Phone (573) 397-7036

Other practice location 2

546 N Rand Rd
Lake Zurich, IL 60047-3103
Phone (847) 438-6624

Other practice location 3

3218 W Edgewood Dr
Jefferson City, MO 65109-6951
Phone (573) 634-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250708001687 IL Practitioner - Physical Therapist in Private Practice 3072027580 Reassigns benefits to 1 organization
I20260616000683 MO Practitioner - Physical Therapist in Private Practice 3072027580

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

4004 Peach CT
Suite H
Columbia, MO 65203-3800
Phone (573) 256-8100

546 N Rand Rd
Lake Zurich, IL 60047-3103
Phone (847) 438-6624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

546 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-6624

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

4004 Peach Ct
Ste H
Columbia, MO 65203
Phone (573) 256-8100

Interoperability endpoints

  • Direct secure messaging: cole.cheripka.p9@direct.athleticoltd.nextgenshare.com

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1740178169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 PEACH CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033800",
            "telephone_number": "573-256-8100",
            "fax_number": "573-256-8104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652017179",
            "country_code": "US",
            "telephone_number": "573-397-7036",
            "fax_number": "573-734-0730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 N Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600473103",
            "country_code": "US",
            "telephone_number": "847-438-6624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3218 W Edgewood Dr",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "651096951",
            "country_code": "US",
            "telephone_number": "573-634-3815",
            "fax_number": "573-634-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIPKA",
        "first_name": "COLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2026020978",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-029196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.