Nicole Marie Vandevelde Cozby, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36827 Issued in CA

Practice address

1605 Hope St
Suite 100
South Pasadena, CA 91030-2628

Phone

(818) 731-3447

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Marie Vandevelde Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Southern California Keck School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cozby Physical Therapy and ConsultingGroup PAC ID 0446528046, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Cozby Physical Therapy and Consulting

  • Physical Therapy Clinic/Center
  • South Pasadena, CA
  • NPI 1285168997

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• On the Move Physical Therapy, P.C.

  • Physical Therapist
  • Sierra Madre, CA
  • NPI 1760428304
  Medicare reassignment NPD

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1124332341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "STE 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302647",
            "telephone_number": "818-731-3447",
            "fax_number": "626-737-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "SUITE 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302628",
            "telephone_number": "818-731-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZBY",
        "first_name": "NICOLE",
        "middle_name": "MARIE VANDEVELDE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VANDEVELDE",
            "middle_name": "MARIE",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank Steven Costello
• Johnny Albert Cota
• Maritza Cowan, M.F.T. INTERN
• Cozby Physical Therapy and Consulting
• Jason Richard Cozby, P.T.
• Darla Clementina Cozzarelli
• Abigayle Craigg, PHD, PSY35279
• John Creet
• Josephine Villanueva Crisostomo
• Cynthia Cruz-Kuang, NP

• Physical Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.