Kellie McCarra Cook, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1049 Issued in MS

Practice address

533B Keyway Dr
Flowood, MS 39232-8809

Phone

(601) 420-0717

Fax

(601) 420-0957

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialized Physical TherapyGroup PAC ID 2769459726, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Specialized Physical Therapy

  • Physical Therapist
  • Flowood, MS
  • NPI 1346317344

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Specialized Physical Therapy

  • Physical Therapist
  • Flowood, MS
  • NPI 1134289275
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1851662043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533B KEYWAY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328809",
            "telephone_number": "601-420-0717",
            "fax_number": "601-420-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533B KEYWAY DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328809",
            "telephone_number": "601-420-0717",
            "fax_number": "601-420-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KELLIE",
        "middle_name": "MCCARRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Pain Specialists
• Mark A Condon, M.D.
• Jaycie Conner, DPT
• Amanda H. Cook, M.D.
• John W Cook, MD
• Monica Stewart Cook, RPH
• Chad Edward Cooley, M.D.
• Copac Incorporated
• Mary Coppola
• Corner Clinic Urgent Care LLC

• All providers in Flowood, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.