Active NPI
Dustin W Cosby, DPT
- Physical Therapist
- Nampa, ID
National Provider Identifier
1619216710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-3147
- Practice address
- 337 W Iowa Ave
Nampa, ID 83686-2856 - Phone
- (208) 467-7889
- Fax
- (208) 467-7800
- NPI assigned
- Feb 8, 2013
- Last updated
- Feb 8, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-3147 | ID | Primary |
Addresses
Primary practice location
337 W Iowa Ave
Nampa, ID 83686-2856
Mailing address
2176 E Franklin Rd
Suite 100
Meridian, ID 83642-9024
Phone (208) 288-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1619216710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2176 E FRANKLIN RD",
"address_2": "SUITE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836429024",
"telephone_number": "208-288-1155",
"fax_number": "208-288-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 W IOWA AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862856",
"telephone_number": "208-467-7889",
"fax_number": "208-467-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSBY",
"first_name": "DUSTIN",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-3147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
- Core Wellness PLLC (CORE Wellness Center)
- Lisa M Corn, LPC
- Cornerstone Whole Healthcare Organization, Inc. (C-Who)
- Megan Correll
- Andrea Cortes Dobson, PA
- Costco Wholesale Corporation (Costco Hearing Aid #734)
- Costco Wholesale Corporation (Costco Pharmacy 734)
- Costco Wholesale Corporation (Costco Optical #734)
- Erica Cotta
- Victoria Council, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.