Individual provider Active NPI

Elizabeth Cobos-Tarin, PT

  • Pediatric Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1710385349
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PTL.0008703 Issued in CO
Practice address
13754 Rivercrest Cir
Apt, Suite, Floor, Etc.
Colorado Springs, CO 80921-8092
Phone
(719) 433-8380
Fax
(719) 362-4185
NPI assigned
Dec 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PTL.0008703 CO Primary

Addresses

Primary practice location

13754 Rivercrest Cir
Apt, Suite, Floor, Etc.
Colorado Springs, CO 80921-8092

Mailing address

13754 Rivercrest Cir
Colorado Springs, CO 80921-3208
Phone (719) 433-8380

Other identifiers 1

IdentifierTypeStateIssuer
20420048MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 719-362-4185

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0008703COMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Strides Pediatric Physical Therapy, PLLC Pediatrics CurrentSince Aug 29, 2021 Accepting new patients
Children's Hospital Colorado Past Accepting new patients

Locations

9320 Grand Cordera Pkwy
Ste 125
Colorado Springs, CO 80924
Phone (719) 357-9448

Interoperability endpoints

  • Direct secure messaging: ecobostarin46206@direct.childrenscolorado.org

Organizations & group practices 3

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": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1710385349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13754 RIVERCREST CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213208",
            "telephone_number": "719-433-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13754 RIVERCREST CIR",
            "address_2": "APT, SUITE, FLOOR, ETC.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809218092",
            "telephone_number": "719-433-8380",
            "fax_number": "719-362-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBOS-TARIN",
        "first_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-14",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "PTL.0008703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20420048",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "719-362-4185",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "13754 Rivercrest Cir",
            "address_2": "Apt, suite, floor, etc.",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809218092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.