Active NPI
Isabella Cozzarin
- Speech-Language Pathologist
- New Hope, PA
National Provider Identifier
1598540965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL016942
- Practice address
- 21 Brooks Bend Dr
New Hope, PA 18938-9246 - Phone
- (215) 208-8124
- NPI assigned
- Aug 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL016942 | PA | Primary |
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
21 Brooks Bend Dr
New Hope, PA 18938-9246
Mailing address
21 Brooks Bend Dr
New Hope, PA 18938-9246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2041 NE Selsund CT
Poulsbo, WA 98370-7325
300 Village Dr
King of Prussia, PA 19406-2784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL016942 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Aubin Aphasia Speech and Language Center LLC | Current | Accepting new patients | |
| Powers Physical Therapy, PLLC | Past | Accepting new patients |
Locations
330 Madison Ave S
Ste 106
Bainbridge Island, WA 98110
Phone (206) 451-4308
20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308
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.
-
- Hearing and Speech Clinic/Center
- Bainbridge Island, WA
- NPI 1679897995
-
- Physical Therapy Clinic/Center
- Bainbridge Island, WA
- NPI 1972824316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1598540965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BROOKS BEND DR",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189389246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BROOKS BEND DR",
"city": "NEW HOPE",
"state": "PA",
"postal_code": "189389246",
"telephone_number": "215-208-8124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZARIN",
"first_name": "ISABELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL016942",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hope, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.