Seth Lee Cohen
Individual provider Active NPI Physical Therapist · Tyrone, GA
NPI 1487478756 · NPPES record last updated Nov 15, 2024
Key facts
- NPI
- 1487478756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 42475 (FL)
- Practice address
- 1504 Joel Cowan Pkwy
Tyrone, GA 30290-5960 - Phone
- (470) 885-5967
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42475 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Health Systems LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42475 | FL | Yes |
Addresses
Primary practice location
1504 Joel Cowan Pkwy
Tyrone, GA 30290-5960
Mailing address
10505 SW 115TH CT
Miami, FL 33176-3139
Phone (305) 431-6197
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.