Cosmos Physical Therapy & Wellness Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

COSMOS PHYSICAL THERAPY & WELLNESS CORPORATION

Practice address

3602 Inland Empire Blvd Ste A120
Ontario, CA 91764-4983

Phone

(714) 334-9998

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tien Tran

Title

Cfo

Phone

(714) 334-9998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Trenton Nakama, DPT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1013543727
  Medicare reassignment NPD
• Leizl-Ann M Adolphi, PT

  • Physical Therapist
  • Pasadena, CA
  • NPI 1083761209
  NPD (past)

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1609589761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6609",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928636609",
            "telephone_number": "714-334-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 INLAND EMPIRE BLVD STE A120",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644983",
            "telephone_number": "714-334-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOS PHYSICAL THERAPY & WELLNESS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-334-9998"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Cortez, DC
• Norell Cortez
• Alyssa Cosby
• Maristella J Cosip, FNP
• David Cosme Lopez
• Amari Cotton
• Sarah Ann Coughenour
• Country Villa Imperial, LLC (Healthcare Center of Bella Vista)
• Camille Counts, RCSN
• County of San Bernardino

• Physical Therapist in Ontario, CA
• Providers in Ontario, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.