Active NPI
Nicole Cozean, OTR/L, CHT
- Hand Occupational Therapist
- Cape Girardeau, MO
National Provider Identifier
1679734602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1061101220
- Practice address
- 2917 Independence St Ste 400
Cape Girardeau, MO 63703-5025 - Phone
- (573) 335-7868
- Fax
- (573) 335-8193
- NPI assigned
- Jun 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 1061101220 | MO | Primary |
Addresses
Primary practice location
2917 Independence St Ste 400
Cape Girardeau, MO 63703-5025
Mailing address
2917 Independence St Ste 400
Cape Girardeau, MO 63703-5025
Phone (573) 335-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1061101220 | MO | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy & Rehab, LLC. | Hand | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1679734602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2917 INDEPENDENCE ST STE 400",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035025",
"telephone_number": "573-335-7868",
"fax_number": "573-335-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2917 INDEPENDENCE ST STE 400",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035025",
"telephone_number": "573-335-7868",
"fax_number": "573-335-8193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZEAN",
"first_name": "NICOLE",
"credential": "OTR/L, CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "MO",
"license": "1061101220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.