Individual provider Active NPI

Ian Cohn, DPT, PT, ATC

  • Physical Therapist
  • Cranford, NJ
National Provider Identifier
1417475880
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
210 North Ave E Ste 1
Cranford, NJ 07016-2491
Phone
(908) 276-0237
Fax
(908) 276-5692
NPI assigned
Sep 6, 2017
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041967 NY
Physical Therapist 225100000X Primary

Addresses

Primary practice location

210 North Ave E Ste 1
Cranford, NJ 07016-2491

Mailing address

PO Box 416495
Boston, MA 02241-4142
Phone (631) 580-5200

Other practice location 1

552 6th Ave
New York, NY 10011-2010
Phone (212) 741-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170913001406 NY Practitioner - Physical Therapist in Private Practice 8224301254
I20210902000086 NJ Practitioner - Physical Therapist in Private Practice 8224301254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians

Practice addresses (Care Compare)

210 N Ave E
Cranford, NJ 07016-2491
Phone (908) 276-0237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041967NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients

Locations

1436 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 429-8000

210 North Ave E
Cranford, NJ 07016
Phone (908) 272-6300

210 North Ave E
Ste 1
Cranford, NJ 07016
Phone (908) 276-0237

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

456 Prospect Ave
Ste C
West Orange, NJ 07052
Phone (973) 651-5000

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

Organizations & group practices 2

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1417475880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416495",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414142",
            "telephone_number": "631-580-5200",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH AVE E STE 1",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162491",
            "telephone_number": "908-276-0237",
            "fax_number": "908-276-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "552 6th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100112010",
            "country_code": "US",
            "telephone_number": "212-741-9288",
            "fax_number": "212-741-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHN",
        "first_name": "IAN",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041967",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.