Healthcare Provider Details

I. General information

NPI: 1003297409
Provider Name (Legal Business Name): ERIN LONGHURST COOK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. ERIN ANNE LONGHURST

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 K ST NW STE 750
WASHINGTON DC
20006-1023
US

IV. Provider business mailing address

2021 K ST NW STE 750
WASHINGTON DC
20006-1023
US

V. Phone/Fax

Practice location:
  • Phone: 202-293-1853
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number3133
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3133
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT872132
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: