Clinton Tyler Cosner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1900 Locust Ave Ste a
Fairmont, WV 26554-1293

Phone

(304) 333-5222

Fax

(304) 333-5224

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elkins Physical Therapy Service IncGroup PAC ID 6305127358, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elkins Physical Therapy Service, Inc.

  • Physical Therapy Clinic/Center
  • Elkins, WV
  • NPI 1295277218

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• David a Lee

  • Physical Therapist
  • Elkins, WV
  • NPI 1104918606
  NPD (past)
• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649700105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LOCUST AVE STE A",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541293",
            "telephone_number": "304-333-5222",
            "fax_number": "304-333-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LOCUST AVE STE A",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265541293",
            "telephone_number": "304-333-5222",
            "fax_number": "304-333-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSNER",
        "first_name": "CLINTON",
        "middle_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Copen
• Amanda Copney
• Adia Corbin, PARAPROFESSIONAL
• Cornerstone Counseling LLC
• Amber Corwin
• Azlynn Danae Cottingham
• Kimberlee Cottingham
• Misty Monique Cottingham
• Rachel Cottrill
• Country Club Dental PLLC

• Physical Therapist in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.