Individual provider Active NPI

Jason Richard Cozby, P.T.

  • Physical Therapist
  • South Pasadena, CA
National Provider Identifier
1366555484
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26365 Issued in CA
Practice address
1605 Hope St
Ste 100
South Pasadena, CA 91030-2647
Phone
(562) 505-6308
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT26365 CA
Physical Therapist 225100000X PT26365 CA Primary

Addresses

Primary practice location

1605 Hope St
Ste 100
South Pasadena, CA 91030-2647

Mailing address

500 N Rosemead Blvd
Apt 28
Pasadena, CA 91107-2143
Phone (562) 505-6308

Other identifiers 1

IdentifierTypeStateIssuer
OPT263650OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060327000850 CA Practitioner - Physical Therapist in Private Practice 5092723411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cozby Physical Therapy and ConsultingGroup PAC ID 0446528046, 7 clinicians

Practice addresses (Care Compare)

625 Fair Oaks Ave
Suite 255
South Pasadena, CA 91030-2695
Phone (626) 737-6734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cozby Physical Therapy and Consulting Physical Therapist CurrentSince Oct 20, 2014 Accepting new patients
California Therapy Solutions Physical Therapist Past Accepting new patients
Body Awareness Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

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

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

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1366555484",
    "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": "911072143",
            "telephone_number": "562-505-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HOPE ST",
            "address_2": "STE 100",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302647",
            "telephone_number": "562-505-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COZBY",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26365",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OPT263650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 24, 2017; 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.