Mr Thomas Russell Cookson, PT | |
100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | |
(978) 535-1213 | |
(978) 535-5510 |
Full Name | Mr Thomas Russell Cookson |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 100 Corporate Pl, Peabody, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023001344 | NPI | - | NPPES |
Y66951 | Other | MA | BLUE CROSS BLUE SHIELD |
2835244 | Other | MA | AETNA |
465520 | Other | MA | TUFTS |
626323 | Other | MA | HARVARD PILGRIM |
0358649 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 8766 (Massachusetts) | Primary |
Provider Name | Sports Medicine North Orthopaedic Surgery Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760423719 PECOS PAC ID: 0547259095 Enrollment ID: O20040510000769 |
Mailing Address | Practice Location Address |
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Mr Thomas Russell Cookson, PT 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 Ph: (978) 535-1213 | Mr Thomas Russell Cookson, PT 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 Ph: (978) 535-1213 |
Meaghan Clarke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Essex Center Dr, Peabody, MA 01960 Phone: 978-977-4115 Fax: 978-977-4108 | |
Paula Jeanne Krukonis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopedic Dr, Peabody, MA 01960 Phone: 978-818-6350 | |
Scott Braje, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopedic Dr, Peabody, MA 01960 Phone: 978-818-6260 Fax: 978-818-6255 | |
Sarah Gravel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Tara Rd, Peabody, MA 01960 Phone: 978-587-1022 | |
Robert W Mulroy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 Centennial Dr, Peabody, MA 01960 Phone: 978-826-7230 Fax: 978-826-7237 | |
Lauren Dellacroce, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Orthopedics Dr, Peabody, MA 01960 Phone: 978-818-6350 |