| Jeremy Cook, PT | |
|
2041 Hamilton Pl, Johnson City, TN 37604-7920 | |
| (423) 804-1020 | |
| (423) 317-7773 |
| Full Name | Jeremy Cook |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 2041 Hamilton Pl, Johnson City, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043294515 | NPI | - | NPPES |
| 02237709 | Medicaid | NY | |
| Q098770 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 16178 (Tennessee) | Primary |
| 225100000X | Physical Therapist | 020692-1 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan C Black | 5890117469 | 23 |
| Provider Name | Jordan C Black |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528569316 PECOS PAC ID: 5890117469 Enrollment ID: O20200629000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Cook, PT 325 W Morris Blvd Ste B, Morristown, TN 37813-2237 Ph: (423) 317-7772 | Jeremy Cook, PT 2041 Hamilton Pl, Johnson City, TN 37604-7920 Ph: (423) 804-1020 |
James Montgomery Shumate, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2913 Boones Creek Rd Ste 1, Johnson City, TN 37615 Phone: 423-232-0688 | |
Lauren Hope Campbell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3915 Bristol Hwy Ste 301, Johnson City, TN 37601 Phone: 423-556-8943 | |
Elizabeth Cook, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044 | |
Alexis Beach, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2312 Knob Creedk Rd Ste 200, Johnson City, TN 37604 Phone: 423-232-8302 | |
Dr. Hannah Michelle Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 406 E Mountain View Rd, Johnson City, TN 37601 Phone: 423-291-0234 | |
Amanda M Minick, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614 Phone: 423-439-4044 |