Provider Demographics
NPI:1275831042
Name:COOK, JAMIE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:SCHMOOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:6200 OREGON AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-1543
Mailing Address - Country:US
Mailing Address - Phone:202-541-0150
Mailing Address - Fax:
Practice Address - Street 1:6200 OREGON AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-1543
Practice Address - Country:US
Practice Address - Phone:202-541-0150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT871225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist