Jacy Lynn Cook, DPT
Individual provider Active NPI Physical Therapist · Plano, TX
NPI 1972068617 · NPPES record last updated Feb 6, 2019
Key facts
- NPI
- 1972068617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1314639 (TX)
- Practice address
- 4700 Alliance Blvd
Plano, TX 75093-5323 - Phone
- (469) 814-2000
- NPI assigned
- Feb 6, 2019
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1314639 | TX | Yes |
Addresses
Primary practice location
4700 Alliance Blvd
Plano, TX 75093-5323
Mailing address
8526 Baltimore Dr Apt 202
Dallas, TX 75225-3405
Phone (469) 531-6876
Other names
- Jacy Lynn Hise
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2019. 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.