NPIMap

Organization Active NPI

Cook Physical Therapy PC

  • Physical Therapist
  • Fayetteville, NY
National Provider Identifier
1821086539
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COOK PHYSICAL THERAPY PC
Practice address
4305 Medical Center Dr
Ste 4305
Fayetteville, NY 13066-6638
Phone
(315) 329-7400
Fax
(315) 329-7403
NPI assigned
Oct 7, 2005
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Mr. Mark D Cook, PTNPI 1851388938
Title
Owner Physical Therapist
Phone
(315) 329-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4305 Medical Center Dr
Ste 4305
Fayetteville, NY 13066-6638

Mailing address

4305 Medical Center Dr
Ste 4305
Fayetteville, NY 13066-6638
Phone (315) 329-7400

National Provider Directory

National Provider Directory

Locations

4305 Medical Center Dr
#2500
Fayetteville, NY 13066

4305 Medical Center Dr
Ste 4305
Fayetteville, NY 13066
Phone (315) 329-7400

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1821086539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 MEDICAL CENTER DR",
            "address_2": "STE 4305",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666638",
            "telephone_number": "315-329-7400",
            "fax_number": "315-329-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 MEDICAL CENTER DR",
            "address_2": "STE 4305",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666638",
            "telephone_number": "315-329-7400",
            "fax_number": "315-329-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "315-329-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.