Active NPI
Alexander Emmett Cossey, DPT
- Physical Therapist
- San Luis Obispo, CA
National Provider Identifier
1417549643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 299708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Physical Therapy and Wellness Center, PC | Physical Therapist | Current | Accepting new patients |
| Forward Motion Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Timothy H. Jones, M.D., Inc. | Past | 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.
-
- Physical Therapy Clinic/Center
- San Luis Obispo, CA
- NPI 1285173567
CA, Physical Therapist
-
- Physical Therapist
- Calabasas, CA
- NPI 1902217409
-
- Family Medicine Physician
- Avila Beach, CA
- NPI 1497116701
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.