Individual provider Active NPI

Brendan Patrick Cousineau, PT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1225098148
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2920 Issued in AZ
Practice address
10900 N Scottsdale Rd Ste 205
Scottsdale, AZ 85254-5228
Phone
(480) 694-5013
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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 2920 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd Ste 205
Scottsdale, AZ 85254-5228

Mailing address

13331 N 89TH Way
Scottsdale, AZ 85260-7634
Phone (480) 694-5013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000184 AZ Practitioner - Physical Therapist in Private Practice 4385654284 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10855 N 116TH St
Suite 120
Scottsdale, AZ 85259-4188
Phone (480) 694-5013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2920AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cousineau, LLC Physical Therapist CurrentSince Jun 27, 2017 Accepting new patients
Certified Hand Rehabilitation, PLLC Past Accepting new patients
Arenson Wasserbeck LLC Physical Therapist PastSince Jun 1, 2007 Accepting new patients

Locations

10900 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85254
Phone (480) 536-1375

10855 N 116th St
Ste 120
Scottsdale, AZ 85259
Phone (480) 694-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1225098148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13331 N 89TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607634",
            "telephone_number": "480-694-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545228",
            "telephone_number": "480-694-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.

Verify at the official NPI Registry.