Individual provider Active NPI

Vanessa Lynn Cool, PT, MS

  • Physical Therapist
  • Saint Joseph, MI
National Provider Identifier
1902376627
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008489 Issued in MI
Practice address
3774 Hollywood Rd
Saint Joseph, MI 49085-9550
Phone
(269) 428-2799
Fax
(269) 428-7288
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008489 MI Primary

Addresses

Primary practice location

3774 Hollywood Rd
Saint Joseph, MI 49085-9550

Mailing address

3774 Hollywood Rd
Saint Joseph, MI 49085-9550
Phone (269) 428-2799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912002710 MI Practitioner - Physical Therapist in Private Practice 6709240575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy and Wellness, LLCGroup PAC ID 5597194761, 8 clinicians

Practice addresses (Care Compare)

3630 Tennis CT
Saint Joseph, MI 49085-9502
Phone (269) 769-3175

500 E 3Rd St
Buchanan, MI 49107-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy & Wellness LLC Physical Therapist CurrentSince Aug 9, 2023 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Past Accepting new patients
Pelvic Wellness and Collective Physical Therapist PastSince Nov 7, 2025 Accepting new patients

Locations

500 E 3rd St
Buchanan, MI 49107
Phone (269) 224-0977

3630 Tennis Ct
Saint Joseph, MI 49085
Phone (269) 210-5534

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1902376627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859550",
            "telephone_number": "269-428-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 HOLLYWOOD RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859550",
            "telephone_number": "269-428-2799",
            "fax_number": "269-428-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOL",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "PT, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.