DEBORAH COOK PT NPI 1619904752

NPI Information

NPI: 1619904752
Provider Name: DEBORAH COOK, PT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3675 SPRUCE DR
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 685-4981
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Deborah Cook, PT is a specialist in Myrtle Beach, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Deborah Cook, PT NPI is 1619904752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3675 SPRUCE DR
MYRTLE BEACH, SC
ZIP 29577-005
Phone: (843) 685-4981

The enumeration date for this NPI number is 6/26/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PT2399	MAINE	Yes
2	174400000X	Specialist		MT39	MAINE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7966435	OTHER	MAINE	CIGNA HEALTHCARE
2	MN4071	OTHER	MAINE	HARVARD PILGRIM
3	007016	OTHER	MAINE	BLUE CROSS BLUE SHIELD
4	MM8707	MEDICARE ID-TYPE UNSPECIFIED	MAINE	PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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