Individual provider Active NPI

Philip Andrew Cobb, D.C.

  • Chiropractor
  • Cape Coral, FL
National Provider Identifier
1760507537
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7784 Issued in FL
Practice address
1526 SE 16TH PL
#B
Cape Coral, FL 33990-3851
Phone
(239) 458-8800
Fax
(239) 458-5291
NPI assigned
Mar 20, 2007
Last updated
Apr 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7784 FL Primary

Addresses

Primary practice location

1526 SE 16TH PL
#B
Cape Coral, FL 33990-3851

Mailing address

1526 SE 16TH PL
#B
Cape Coral, FL 33990-3851
Phone (239) 458-8800

Other identifiers 2

IdentifierTypeStateIssuer
2443219OtherFLCIGNA
70097OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000790 FL Practitioner - Chiropractic 6901852383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby Ness LLCGroup PAC ID 8628414299, 2 clinicians

Practice addresses (Care Compare)

6694 Bayshore Rd
Suite 109
North Fort Myers, FL 33917-3307
Phone (941) 405-3228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7784FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Ness LLC Chiropractor CurrentSince Jan 5, 2026 Accepting new patients
Chiropractic Express Inc Chiropractor Past Accepting new patients

Locations

6694 Bayshore Rd
Ste 109
North Ft Myers, FL 33917
Phone (239) 257-1121

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1760507537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 SE 16TH PL",
            "address_2": "#B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903851",
            "telephone_number": "239-458-8800",
            "fax_number": "239-458-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 SE 16TH PL",
            "address_2": "#B",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903851",
            "telephone_number": "239-458-8800",
            "fax_number": "239-458-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2443219",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70097",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.