Active NPI
Jason Eric Cook, DPT
- Pediatric Physical Therapist
- Ankeny, IA
National Provider Identifier
1821378100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3574
- Practice address
- 2006 S Ankeny Blvd BLDG 5
Ankeny, IA 50023 - Phone
- (515) 289-9541
- Fax
- (515) 446-3642
- NPI assigned
- Aug 18, 2011
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3574 | IA | Primary |
Addresses
Primary practice location
2006 S Ankeny Blvd BLDG 5
Ankeny, IA 50023
Mailing address
1200 Pleasant St
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3574 | IA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1821378100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT ST",
"address_2": "SOUTH 2 ROOM 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 S ANKENY BLVD BLDG 5",
"city": "ANKENY",
"state": "IA",
"postal_code": "50023",
"telephone_number": "515-289-9541",
"fax_number": "515-446-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JASON",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-18",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IA",
"license": "3574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.