Bailey Cooke, PTA
Individual provider Active NPI Physical Therapy Assistant · Missoula, MT
NPI 1912214735 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1912214735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2363PTA (MT)
- Practice address
- 5000 Blue Mountain Rd
Missoula, MT 59804-9213 - Phone
- (406) 251-2323
- Fax
- (406) 251-2999
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2363PTA | MT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2363PTA | MT | Yes |
Addresses
Primary practice location
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Mailing address
5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306858642 | Other | MT | ORGANIZATION NPI |
Other providers in Missoula, MT
- Michaela Conway
- Bart Douglas Cook
- J. William Cook
- Logan Robert Cook
- Valerie Cook
- Sarah Cool
- Catherine Grant Cooper
- Scott Thomas Cooper
- Bradley Kevin Coots
- Iley Scott Copeland
All providers in Missoula, MT · Physical Therapy Assistant in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.