Tony Garrett Cook, LCP

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

LP132 Issued in KY

Practice address

610 W Main St
Ste E
Campbellsville, KY 42718-2501

Phone

(270) 465-8522

Fax

(270) 465-8523

NPI assigned

Nov 16, 2009

Last updated

Dec 3, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Prosthetics of Kentucky

  • Prosthetic/Orthotic Supplier
  • Campbellsville, KY
  • NPI 1811264674
  NPD (past) Authorized official

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1902133788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "address_2": "STE E",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182501",
            "telephone_number": "270-465-8522",
            "fax_number": "270-465-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MAIN ST",
            "address_2": "STE E",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427182501",
            "telephone_number": "270-465-8522",
            "fax_number": "270-465-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TONY",
        "middle_name": "GARRETT",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KY",
            "license": "LP132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100209830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "000000788517",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Colvin, MHE
• Terri M Colvin, LMT
• Commonwealth Pain Associates PLLC
• Leletha Darlene Conover, LPCC
• Abrielle D Conway, PSY.D.
• Keri Michelle Coots, MS, ATC
• Hailee Corbin
• Brendon M. Coughtry, M.D.
• Amber Cowan
• Riley Jo Cowan

• Prosthetic/Orthotic Supplier in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.