Individual provider Active NPI

Blake Joseph Cookmeyer, PT, DPT

  • Physical Therapist
  • Metairie, LA
National Provider Identifier
1821699117
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone
(504) 841-0150
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2620 Metairie Lawn Dr
Metairie, LA 70002-6107

Mailing address

2620 Metairie Lawn Dr
Metairie, LA 70002-6107
Phone (504) 841-0150

Other practice location 1

822 Perdido St Unit G
New Orleans, LA 70112-1026
Phone (504) 841-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201203000907 LA Practitioner - Physical Therapist in Private Practice 2961813548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10377LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baudry Therapy Center CurrentSince Nov 11, 2020 Accepting new patients

Locations

2620 Metairie Lawn Dr
Metairie, LA 70002
Phone (504) 293-2454

822 Perdido St
Ste G
New Orleans, LA 70112
Phone (504) 841-0150

Organizations & group practices 1

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1821699117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 METAIRIE LAWN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026107",
            "telephone_number": "504-841-0150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 Perdido St Unit G",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701121026",
            "country_code": "US",
            "telephone_number": "504-841-0150",
            "fax_number": "504-841-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKMEYER",
        "first_name": "BLAKE",
        "middle_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.