Individual ProviderRyan Ted CookPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4515 E Central Ave, Ste A, Wichita, KS 67208-3915(316) 260-6869(316) 263-0003PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Ted Cook does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730477191Provider TypeIndividualFull NameCook, Ryan TedCredentialDPTGenderMaleSole ProprietorNoEnumeration Date7/19/2011Last Updated12/12/2012Contact InformationPractice LocationPractice Address4515 E Central Ave, Ste A, Wichita, KS 67208-3915Phone(316) 260-6869Fax(316) 260-6872Mailing LocationMailing Address200 W Douglas Ave, Ste 1040, Wichita, KS 67202-3013Phone(316) 263-0003Fax(316) 263-1241Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-04262Kansas