Active NPI
Brian Cosimano
- Physical Therapist
- Plymouth, MI
National Provider Identifier
1629875042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 307596
- Practice address
- 801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224 - Phone
- (866) 991-0900
- NPI assigned
- Feb 25, 2025
- Last updated
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 307596 | CA | Primary |
Addresses
Primary practice location
801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Mailing address
801 W Ann Arbor TRL Ste 220
Plymouth, MI 48170-6224
Phone (866) 991-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
684 Benicia Dr
Santa Rosa, CA 95409-3058
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307596 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Coast Rehab Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1629875042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W ANN ARBOR TRL STE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706224",
"telephone_number": "866-991-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W ANN ARBOR TRL STE 220",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481706224",
"telephone_number": "866-991-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSIMANO",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "307596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
- Megan C Corlett, CCP
- Brooke Cornelius
- Corpore Sano Home Health Care Inc. (Corpore Sano Palliative Care)
- Corpore Sano Home Health Care Inc.
- Corpore Sano Home Health Care Inc. (Corpore Sano Home Health & Hospice)
- Peter J Cote
- Patrick Cotton
- Diane Course, M.A., BCBA
- Covington Dental PLLC
- Kiara Covington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.