NPIMap

Organization Active NPI

Natalie L Cooke LLC

Doing business as InMotion Physical Therapy

  • Physical Therapist
  • Vienna, WV
National Provider Identifier
1891160677
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NATALIE L COOKE LLC
Doing business as
InMotion Physical Therapy
Practice address
1605 Grand Central Ave
Vienna, WV 26105-1081
Phone
(304) 295-7290
Fax
(304) 295-5922
NPI assigned
Dec 5, 2015
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Carole G Fortney
Title
Administrative Assistant
Phone
(740) 525-7660

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1605 Grand Central Ave
Vienna, WV 26105-1081

Mailing address

1605 Grand Central Ave
Vienna, WV 26105-1081
Phone (304) 295-7290

Other identifiers 1

IdentifierTypeStateIssuer
1891160677MedicaidWV

Other names 1

  • InMotion Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160404000577 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082911268 Receives reassigned benefits from 14 practitioners
Practice locations: Vienna, WV; Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

915 Emerson Ave
Parkersburg, WV 26104
Phone (304) 295-7290

1605 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-5505

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1891160677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE L COOKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-05",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "FORTNEY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "740-525-7660"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891160677",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InMotion Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.