Justin Michael Cobb, MPT, ATC/LAT, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1967 Issued in FL

Practice address

4501 Vineland Rd Ste 103
Orlando, FL 32811-7375

Phone

(407) 852-3200

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Dimensions Wellness Inc

  • Physical Therapy Clinic/Center
  • Orlando, FL
  • NPI 1346077203
  NPD Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1174670467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9248 SWEET MAPLE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 VINELAND RD STE 103",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117375",
            "telephone_number": "407-852-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MPT, ATC/LAT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Cobarris, M.S.
• Vickie Lashena Cobb-Lucien, APRN, FNP-BC, AAHIVS
• Aijalon J Cobb
• Danita Cobb
• Jhavon Terrell Cobb
• William James Cobb, MD
• Connie S Cobbs
• James Benner Coberly, MA
• Laritssa Palacio Cobian, MD
• Ellen Coble, PSYD

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.