Healthcare Provider Details

I. General information

NPI: 1992613392
Provider Name (Legal Business Name): CAITLYN COOK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 SCOTLAND BLVD UNIT A
BRIDGEWATER MA
02324-2302
US

IV. Provider business mailing address

4 RICHMOND SQ STE 400
PROVIDENCE RI
02906-5117
US

V. Phone/Fax

Practice location:
  • Phone: 508-697-2000
  • Fax: 508-697-2002
Mailing address:
  • Phone: 401-433-4172
  • Fax: 401-433-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89215
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: