Nicholas Dwayne Cobble, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60161861 Issued in WA

Practice address

8495 161St Ave NE
Redmond, WA 98052-3849

Phone

(425) 881-3001

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redmond Physical Therapy, Inc.

  dba Premier Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1962643965
  NPD (past)

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1215281464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 2ND AVE S APT 204",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 161ST AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523849",
            "telephone_number": "425-881-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBLE",
        "first_name": "NICHOLAS",
        "middle_name": "DWAYNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60161861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Clark, OTR/L
• Jasmine Clayton
• Laura S Clever, PT
• Maggon M Coale
• Deborah Cobb, LMP
• Josef Vantil Coers, LMHC
• Courtney Michelle Coleman, DDS
• Maria Rizza Duran Collantes, M.D.
• Jordan Mark Collier, DO
• Robert Bryant Collins, OD

• Physical Therapy Assistant in Redmond, WA
• Providers in Redmond, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.