MEDICARE: LILLIAN MARTHA COOK DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT017836	GA

General Provider Information

NPI Number	:	1942099643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILLIAN MARTHA COOK DPT

Provider Business Mailing Address
First Line	:	115 SUMNER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4758
Country	:	US
Telephone Number	:	706-407-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 SUMNER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4758
Country	:	US
Telephone Number	:	706-407-4446
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2025
Last Update Date	:	07/11/2025

Similar Medicare Providers

1104649623 — ABDOURAHMAN JALLOW DPT, PT
Practice Location Address:

115 SUMNER RD
FAYETTEVILLE, GA
30214-4758

Practice Phone: 706-407-4446
Practice Fax: 706-845-9481

1447211149 — MR. VIRENDRA V RANADIVE MD
Practice Location Address:

115 SUMNER RD FL 2
FAYETTEVILLE, GA
30214-4758

Practice Phone: 770-716-1562
Practice Fax: 770-716-0145

1629028386 — GWENDOLYN T DEAN M.D.
Practice Location Address:

115 SUMNER RD
FAYETTEVILLE, GA
30214-4758

Practice Phone: 678-477-6904
Practice Fax:

1447383351 — KIDS TIME PEDIATRICS OF SOUTHERN CRESCENT, LLC
Practice Location Address:

115 SUMNER RD , SUITE D
FAYETTEVILLE, GA
30214-4758

Practice Phone: 706-342-2180
Practice Fax:

1649046855 — P4 PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

115 SUMNER RD
FAYETTEVILLE, GA
30214-4758

Practice Phone: 706-407-4446
Practice Fax:

1225314982 — NEUROLOGY ASSOCIATES, P.C.
Practice Location Address:

1250 HIGHWAY 54 WEST , SUITE 201
FAYETTEVILLE, GA
30214

Practice Phone: 770-716-1562
Practice Fax: 770-716-0145

Directions to “ LILLIAN MARTHA COOK DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.