Active NPI
David E Cobb, PT
- Physical Therapist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05002669A
- Practice address
- 3806 Amelia Ave
Lafayette, IN 47905-5772 - Phone
- (765) 807-2773
- Fax
- (765) 807-2774
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 05002669A | IN | |
| Physical Therapist | 225100000X | 05002669A | IN | Primary |
Addresses
Primary practice location
3806 Amelia Ave
Lafayette, IN 47905-5772
Mailing address
PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732
Other practice location 1
152 Sagamore Pkwy W
West Lafayette, IN 47906-1569
Phone (765) 463-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000496786 | Other | IN | ANTHEM |
| 201164480 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3806 Amelia Ave
Lafayette, IN 47905-5772
Phone (765) 807-2773
424 W Division St
Remington, IN 47977-8715
Phone (219) 208-3008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002669A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare, LLC | Current | Accepting new patients | |
| Unity Healthcare, LLC | Current | Accepting new patients | |
| Miracles Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Unity Healthcare LLC | Current | Accepting new patients | |
| Unity Healthcare LLC | Physical Therapist | Past | Accepting new patients |
Locations
1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065
3806 Amelia Ave
Lafayette, IN 47905
Phone (765) 807-2773
307 Sagamore Pkwy W
Ste 400
West Lafayette, IN 47906
Phone (765) 463-2000
152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556
257 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-2200
Organizations & group practices 5
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.
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- NPI 1427759182
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1154401925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4699",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479034699",
"telephone_number": "765-449-2732",
"fax_number": "765-449-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3806 AMELIA AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055772",
"telephone_number": "765-807-2773",
"fax_number": "765-807-2774"
}
],
"practiceLocations": [
{
"address_1": "152 Sagamore Pkwy W",
"address_purpose": "LOCATION",
"city": "West Lafayette",
"state": "IN",
"postal_code": "479061569",
"country_code": "US",
"telephone_number": "765-463-2200",
"fax_number": "765-463-3625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBB",
"first_name": "DAVID",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IN",
"license": "05002669A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05002669A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000496786",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201164480",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.