Darcy Kyle Cook, MSPT

Individual provider Active NPI Physical Therapist · Livingston, MT

NPI 1891920955 · NPPES record last updated Mar 28, 2014

Key facts

NPI
1891920955
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1794 (MT)
Practice address
315 S Main St
Livingston, MT 59047
Phone
(406) 222-4682
Fax
(406) 222-4681
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite Sports Medicine (3 clinicians)

Practice addresses (Care Compare)

315 S Main St
Livingston, MT 59047-3416
Phone (406) 222-4682

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090814000111 MT Practitioner - Physical Therapist in Private Practice 3971657651 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1794MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Sports Medicine Current
since Apr 1, 2012
Accepting new patients

Locations

315 S Main St
Livingston, MT 59047
Phone (406) 222-4682

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1794 MT Yes

Addresses

Primary practice location

315 S Main St
Livingston, MT 59047

Mailing address

315 S Main St
Livingston, MT 59047
Phone (406) 222-4682

Other providers in Livingston, MT

All providers in Livingston, MT · Physical Therapist in Montana

Sources for this page

Verify at the official NPI Registry.