| Mr William S Cooke, PT | |
|
601 E Main St, Hart, MI 49420-1144 | |
| (231) 873-3577 | |
| (231) 873-3557 |
| Full Name | Mr William S Cooke |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 42 Years |
| Location | 601 E Main St, Hart, Michigan |
| 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 |
|---|---|---|---|
| 1588914782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.004664 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 5501017250 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeside Comprehensive Rehabilitation Inc. | 3274439443 | 2 |
| Ivyrehab Michigan Llc | 6901165893 | 124 |
| Provider Name | Lakeside Comprehensive Rehabilitation Inc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396779542 PECOS PAC ID: 3274439443 Enrollment ID: O20140512002091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William S Cooke, PT 601 E Main St, Hart, MI 49420-1144 Ph: (231) 873-3577 | Mr William S Cooke, PT 601 E Main St, Hart, MI 49420-1144 Ph: (231) 873-3577 |
Trisha Armstrong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Mekayla Rose Meeker, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 E Main St, Hart, MI 49420 Phone: 231-873-6026 | |
Kaitlyn Elizabeth Singer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Hart, MI 49420 Phone: 231-873-6026 | |
Sravanthi Mukta, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Ashima Nagpal, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 | |
Victor Pupek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 E Main St, Hart, MI 49420 Phone: 231-873-3577 Fax: 231-873-3557 |