Organization Active NPI

Cousineau, LLC

Doing business as FLEX Physical Therapy

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1487106373
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2920 Issued in AZ
Legal business name
COUSINEAU, LLC
Doing business as
FLEX Physical Therapy
Practice address
10900 N Scottsdale Rd Ste 205
Scottsdale, AZ 85254-5228
Phone
(480) 694-5013
Fax
(480) 782-1353
NPI assigned
Oct 26, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Mr. Brendan P. Cousineau, PTNPI 1225098148
Title
Owner/Physical Therapist
Phone
(480) 694-5013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2920 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd Ste 205
Scottsdale, AZ 85254-5228

Mailing address

13331 N 89TH Way
Scottsdale, AZ 85260-7634
Phone (480) 694-5013

Other identifiers 1

IdentifierTypeStateIssuer
349400MedicaidAZ

Other names 1

  • FLEX Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

10855 N 116th St
Ste 120
Scottsdale, AZ 85259
Phone (480) 694-5013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1487106373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13331 N 89TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852607634",
            "telephone_number": "480-694-5013",
            "fax_number": "480-782-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545228",
            "telephone_number": "480-694-5013",
            "fax_number": "480-782-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUSINEAU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "COUSINEAU",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-694-5013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "2920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLEX Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.