Individual provider Active NPI

Maurice George Cogle, P.T.

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1205040441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT92439 Issued in FL
Practice address
203 Thornton Dr
Palm Beach Gardens, FL 33418-8036
Phone
(561) 628-3154
Fax
(561) 776-9580
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT92439 FL Primary

Addresses

Primary practice location

203 Thornton Dr
Palm Beach Gardens, FL 33418-8036

Mailing address

203 Thornton Dr
Palm Beach Gardens, FL 33418-8036
Phone (561) 628-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT92439FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Home Health Agency, Inc. PastSince May 8, 2024 Accepting new patients
Independent Life LLC Physical Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205040441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 THORNTON DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188036",
            "telephone_number": "561-628-3154",
            "fax_number": "561-776-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 THORNTON DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188036",
            "telephone_number": "561-628-3154",
            "fax_number": "561-776-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLE",
        "first_name": "MAURICE",
        "middle_name": "GEORGE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT92439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.