Individual provider Active NPI

Jennifer Susanne Cooksey, PTA

  • Physical Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1881479905
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
316 Issued in OK
Practice address
14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone
(405) 340-2025
Fax
(405) 340-6649
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 316 OK Primary

Addresses

Primary practice location

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006

Mailing address

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 340-2025

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1881479905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-340-2025",
            "fax_number": "405-340-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341006",
            "telephone_number": "405-340-2025",
            "fax_number": "405-340-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "JENNIFER",
        "middle_name": "SUSANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.