Jordan Daniel Cookston

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7731 Issued in TN

Practice address

731 Middle Creek Rd
Sevierville, TN 37862-5016

Phone

(865) 429-6156

NPI assigned

Feb 16, 2021

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1851984249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 THORN GROVE PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379149391",
            "telephone_number": "256-960-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 MIDDLE CREEK RD",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625016",
            "telephone_number": "865-429-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSTON",
        "first_name": "JORDAN",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Communication Restoration, PLLC
• Community Center Health LLC
• Walter K Conerly, CRNA
• Shelby Brooke Conyers, COTA/L
• John T Cook Jr., PHARM D
• Jessica Williams Cooper, FNP-C
• Nathan Edward Cope, PHARMD, BCPS
• Jonathan Coppenger, NP
• Cathy Cecile Cordial, LPN
• Ashley Dawn Cornette, FNP-C

• Physical Therapy Assistant in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.

Verify at the official NPI Registry.