Individual provider Active NPI

Elizabeth Ellen Cohen, PT

  • Physical Therapist
  • Coconut Creek, FL
National Provider Identifier
1003951609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7510 Issued in FL
Practice address
4915 Coconut Creek Parkway
Coconut Creek, FL 33063
Phone
(954) 972-1200
Fax
(954) 972-6212
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7510 FL Primary
Physical Therapist 225100000X PT97801 NY

Addresses

Primary practice location

4915 Coconut Creek Parkway
Coconut Creek, FL 33063

Mailing address

6466 NW 71St Terrace
Parkland, FL 33067-1216
Phone (954) 346-3520

Other identifiers 2

IdentifierTypeStateIssuer
PT7510OtherFLDIVISION OF MEDICAL QUALI
PT97801OtherNYDIVISION OF PROFESSIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211003418 FL Practitioner - Physical Therapist in Private Practice 6608355300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14100 SW 37TH CT
Davie, FL 33330-1518

5061 NW 64TH Dr
Coral Springs, FL 33067-2139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7510FLMDPhysical Therapist
PT97801NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activa, LC Physical Therapist CurrentSince Jan 16, 2026 Accepting new patients
Coconut Creek Rehabilitation Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003951609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6466 NW 71ST TERRACE",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671216",
            "telephone_number": "954-346-3520",
            "fax_number": "954-346-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 COCONUT CREEK PARKWAY",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "954-972-1200",
            "fax_number": "954-972-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7510",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "PT97801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF MEDICAL QUALI",
            "identifier": "PT7510",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL",
            "identifier": "PT97801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.