Individual provider Active NPI

Dalton Cousin, DPT

  • Physical Therapist
  • Clinton, TN
National Provider Identifier
1558100727
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15564 Issued in TN
Practice address
1970 Oak Ridge Hwy
Clinton, TN 37716-5968
Phone
(865) 272-5410
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hand N Hand Home Healthcare, Inc. CurrentSince Apr 6, 2025 Accepting new patients
Cousin Physical Therapy, PLLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1970 Oak Ridge Hwy
Clinton, TN 37716
Phone (865) 272-5410

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 15564 TN Primary

Addresses

Primary practice location

1970 Oak Ridge Hwy
Clinton, TN 37716-5968

Mailing address

9236 Shady Mill LN
Knoxville, TN 37922-4235

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1558100727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 SHADY MILL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379224235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 OAK RIDGE HWY",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377165968",
            "telephone_number": "865-272-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "DALTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.