Active NPI
Cook Childrens Home Health
Doing business as Orthotic Prosthetic Phy Group
- Orthotist
- Fort Worth, TX
National Provider Identifier
1770842551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 101295
- Legal business name
- COOK CHILDRENS HOME HEALTH
- Doing business as
- Orthotic Prosthetic Phy Group
- Practice address
- 1719 8TH Ave
Fort Worth, TX 76110-1349 - Phone
- (682) 885-6492
- Fax
- (682) 885-1135
- NPI assigned
- May 14, 2012
- Organization subpart
- Yes
- Parent organization
- COOK CHILDRENS HOME HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike R Simmons
- Title
- President, CCHH
- Phone
- (682) 885-2409
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 101295 | TX | Primary |
| Prosthetist | 224P00000X | 101295 | TX |
Addresses
Primary practice location
1719 8TH Ave
Fort Worth, TX 76110-1349
Mailing address
1719 8TH Ave
Fort Worth, TX 76110-1349
Phone (682) 885-6492
Other names 1
- ORTHOTIC PROSTHETIC PHY GROUP
National Provider Directory
National Provider Directory- Part of
- Cook Childrens Home Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336953600000",
"number": "1770842551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101349",
"telephone_number": "682-885-6492",
"fax_number": "682-885-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 8TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101349",
"telephone_number": "682-885-6492",
"fax_number": "682-885-1135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOK CHILDRENS HOME HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COOK CHILDRENS HOME HEALTH",
"enumeration_date": "2012-05-14",
"last_updated": "2012-05-14",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "MIKE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT, CCHH",
"authorized_official_telephone_number": "682-885-2409"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": "TX",
"license": "101295",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Prosthetist",
"state": "TX",
"license": "101295",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ORTHOTIC PROSTHETIC PHY GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Worth, TX
- Cook Children's Physician Network (Cook Children's Urgent Care)
- Cook Children's Physician Network (Cook Children's Developmental Pediatrics)
- Cook Children's Physician Network
- Cook Children's Physician Network
- Cook Childrens Home Health
- Cook Childrens Home Health
- Cook Childrens Home Health
- Cook Childrens Physician Network (Cook Children's Dental)
- Anna Christine Ginn Cook, DPT
- Chastity Cook
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.