Active NPI
Christine M Cook, PT, DPT
- Neurology Physical Therapist
- Tucker, GA
National Provider Identifier
1851966436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT014784
- Practice address
- 3938 Lavista Road
Suite 128
Tucker, GA 30084678 - Phone
- (404) 375-6924
- NPI assigned
- May 25, 2021
- Last updated
- May 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT014784 | GA | Primary |
Addresses
Primary practice location
3938 Lavista Road
Suite 128
Tucker, GA 30084678
Mailing address
1981 Gramercy Cir
Chamblee, GA 30341-1780
Phone (404) 375-6924
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 |
|---|---|---|---|
| PT014784 | GA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1851966436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1981 GRAMERCY CIR",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303411780",
"telephone_number": "404-375-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3938 LAVISTA ROAD",
"address_2": "SUITE 128",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084678",
"telephone_number": "404-375-6924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "GA",
"license": "PT014784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.