Individual provider Active NPI

Nicole Danielle Cozean, PT, DPT, WCS

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1326321837
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33488 Issued in CA
Practice address
25401 Cabot Road
Suite 121
Laguna Hills, CA 92653-5513
Phone
(949) 393-1113
Fax
(949) 438-0074
NPI assigned
Sep 21, 2011
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 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 33488 CA Primary

Addresses

Primary practice location

25401 Cabot Road
Suite 121
Laguna Hills, CA 92653-5513

Mailing address

25401 Cabot Road
Suite 121
Laguna Hills, CA 92653-5513
Phone (949) 393-1113

Other names 1

  • Nicole Danielle Vasquez Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33488CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvicsanity, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1326321837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT ROAD",
            "address_2": "SUITE 121",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-393-1113",
            "fax_number": "949-438-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT ROAD",
            "address_2": "SUITE 121",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-393-1113",
            "fax_number": "949-438-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZEAN",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "PT, DPT, WCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "VASQUEZ",
            "middle_name": "DANIELLE",
            "credential": "PT, DPT, WCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.