Denise Cook, PTA, BCTMB

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2190 Issued in MN

Practice address

4450 Erin Dr Ste 200C
Eagan, MN 55122-2586

Phone

(952) 200-2330

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Denise Topel Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2023.

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1912201088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 BLOOMINGTON AVE",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251726",
            "telephone_number": "952-200-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 ERIN DR STE 200C",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222586",
            "telephone_number": "952-200-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DENISE",
        "credential": "PTA, BCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2023-09-04",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "TOPEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cecilia Kathryn Conery
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• Ellen A Connolly-Eckhoff, CPNP
• Consonus Pharmacy Services Minnesota, LLC
• Adam Cook
• Donald Cook
• Caitlin J Coombs
• Jonathan M Cooper, DO
• Kathryn Ann Corazzo, N.D.
• Nathan Michael Cornelius, D.C.

• All providers in Eagan, MN
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.