Timothy P Cousens Jr., PT,DPT,MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5211 Issued in AZ

Practice address

Highway 264 and 191 South
Navajo Health Foundation/Sage Memorial Hospital/PT Dept
Ganado, AZ 86505

Phone

(928) 755-4566

Fax

(928) 755-4567

NPI assigned

Aug 14, 2008

Last updated

Aug 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NM2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apexnetwork New Mexico LLCGroup PAC ID 1153546957, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Apexnetwork New Mexico, LLC

  • Physical Therapist
  • Gallup, NM
  • NPI 1871917740
  Medicare reassignment Care Compare group NPD
• Hometown Care, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • Taos, NM
  • NPI 1629442710

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1548416134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "NAVAJO HEALTH FOUNDATION/SAGE MEMORIAL HOSPITAL/PT DEPT",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4566",
            "fax_number": "928-755-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 264 AND 191 SOUTH",
            "address_2": "NAVAJO HEALTH FOUNDATION/SAGE MEMORIAL HOSPITAL/PT DEPT",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "86505",
            "telephone_number": "928-755-4566",
            "fax_number": "928-755-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSENS",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT,DPT,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takur George Buck, M.D.
• Lori Michelle Campas, LMSW
• Elvina Jean Charley, ED.S.
• Jennifer Elizabeth Charley, LCSW
• Thomas Gary Cole, DPT
• Michelle Carmen Dale
• Tyleigh Rain Davidson, DMD
• Aracelio Diaz Perez, MD
• Vivian Diep, DMD
• Aimee Marie Dosch, PT

• Physical Therapist in Ganado, AZ
• Providers in Ganado, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.