Individual provider Active NPI

Ana Amadeu McCook, PT

  • Physical Therapist
  • Jasper, GA
National Provider Identifier
1992010276
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010009 Issued in GA
Practice address
371 Noah Dr
Suite 102
Jasper, GA 30143-8708
Phone
(706) 253-6287
Fax
(706) 253-6289
NPI assigned
Aug 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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 PT010009 GA Primary

Addresses

Primary practice location

371 Noah Dr
Suite 102
Jasper, GA 30143-8708

Mailing address

124 Creekwood Dr
Woodstock, GA 30188-3794
Phone (706) 253-6287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1992010276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CREEKWOOD DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883794",
            "telephone_number": "706-253-6287",
            "fax_number": "706-253-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 NOAH DR",
            "address_2": "SUITE 102",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438708",
            "telephone_number": "706-253-6287",
            "fax_number": "706-253-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOK",
        "first_name": "ANA",
        "middle_name": "AMADEU",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.