Active NPI
Emily Irene Cozine, PT, DPT
- Physical Therapist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT295171
- Practice address
- 3883 Airway Dr
Santa Rosa, CA 95403-1670 - Phone
- (707) 521-8962
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT295171 | CA | |
| Physical Therapist | 225100000X | PT295171 | CA | Primary |
Addresses
Primary practice location
3883 Airway Dr
Santa Rosa, CA 95403-1670
Mailing address
2311 Moonlight Way
Santa Rosa, CA 95403-8909
Phone (619) 719-0386
Other practice location 1
5677 Oberlin Dr Ste 106
San Diego, CA 92121-1741
Phone (858) 457-8419
Other practice location 2
1111 Main St Ste D
Saint Helena, CA 94574-2074
Phone (707) 287-4437
Other practice location 3
3975 Old Redwood Hwy Ste 154
Santa Rosa, CA 95403-1719
Phone (707) 566-5655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT295171 | Other | CA | PT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3883 Airway Dr
Suite 135
Santa Rosa, CA 95403-1678
Phone (707) 521-8962
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT295171 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Angela Yvonne Acupuncture Inc | Past | Accepting new patients | |
| Comprehensive Therapy Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations (25 of 35)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
3883 Airway Dr
Santa Rosa, CA 95403
Phone (415) 751-1817
Organizations & group practices 7
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Acupuncturist
- San Diego, CA
- NPI 1285096545
-
- Physical Therapist
- San Diego, CA
- NPI 1750326302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1144792201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 MOONLIGHT WAY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038909",
"telephone_number": "619-719-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 AIRWAY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031670",
"telephone_number": "707-521-8962"
}
],
"practiceLocations": [
{
"address_1": "5677 Oberlin Dr Ste 106",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921211741",
"country_code": "US",
"telephone_number": "858-457-8419",
"fax_number": "858-457-0670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Main St Ste D",
"address_purpose": "LOCATION",
"city": "Saint Helena",
"state": "CA",
"postal_code": "945742074",
"country_code": "US",
"telephone_number": "707-287-4437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3975 Old Redwood Hwy Ste 154",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954031719",
"country_code": "US",
"telephone_number": "707-566-5655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COZINE",
"first_name": "EMILY",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT295171",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT295171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT295171",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3975 Old Redwood Hwy",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954031719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.