Individual provider Active NPI

Alexander Emmett Cossey, DPT

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1417549643
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299708 Issued in CA
Practice address
211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509
Phone
(805) 439-3900
NPI assigned
Feb 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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 299708 CA Primary

Addresses

Primary practice location

211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509

Mailing address

211 Tank Farm Rd Ste a
San Luis Obispo, CA 93401-7509
Phone (805) 439-3900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304000994 CA Practitioner - Physical Therapist in Private Practice 8426464157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy and Wellness Center, PC Physical Therapist CurrentSince Feb 10, 2021 Accepting new patients
Forward Motion Physical Therapy Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Timothy H. Jones, M.D., Inc. PastSince Feb 10, 2021 Accepting new patients

Locations

23622 Calabasas Rd
Ste 100
Calabasas, CA 91302
Phone (747) 900-6115

211 Tank Farm Rd
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 439-3900

23101 Sherman Pl
Ste 515
West Hills, CA 91307
Phone (747) 900-6362

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": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1417549643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017509",
            "telephone_number": "805-439-3900",
            "fax_number": "805-439-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TANK FARM RD STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017509",
            "telephone_number": "805-439-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSSEY",
        "first_name": "ALEXANDER",
        "middle_name": "EMMETT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.