NPIMap

Organization Active NPI

Cozby Physical Therapy and Consulting

  • Physical Therapy Clinic/Center
  • South Pasadena, CA
National Provider Identifier
1285168997
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COZBY PHYSICAL THERAPY AND CONSULTING
Practice address
1605 Hope St
Suite 100
South Pasadena, CA 91030-2628
Phone
(562) 505-6308
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Jason Cozby, PTNPI 1366555484
Title
President
Phone
(562) 505-6308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1605 Hope St
Suite 100
South Pasadena, CA 91030-2628

Mailing address

500 N Rosemead Blvd
Apt 28
Pasadena, CA 91107-2104

Other names 1

  • Neurosport Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170623001158 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446528046 Receives reassigned benefits from 11 practitioners
Practice locations: South Pasadena, CA

National Provider Directory

National Provider Directory

Locations

625 Fair Oaks Ave
Ste 255
South Pasadena, CA 91030
Phone (626) 737-6734

1605 Hope St
Ste 100
South Pasadena, CA 91030
Phone (626) 737-6735

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1285168997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N ROSEMEAD BLVD",
            "address_2": "APT 28",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "SUITE 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302628",
            "telephone_number": "562-505-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COZBY PHYSICAL THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "COZBY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-505-6308",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.