Braxton Cosby, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007884 Issued in GA

Practice address

1371 River Station Dr
Lawrenceville, GA 30045-2749

Phone

(404) 304-0626

Fax

(678) 894-0342

NPI assigned

Dec 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keystone Medical Inc

  • Primary Care Clinic/Center
  • North Miami, FL
  • NPI 1598171266

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1780867168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 RIVER STATION DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452749",
            "telephone_number": "404-304-0626",
            "fax_number": "678-894-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 RIVER STATION DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452749",
            "telephone_number": "404-304-0626",
            "fax_number": "678-894-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSBY",
        "first_name": "BRAXTON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-09",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT007884",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne F. Quinn M.D., P.C.
• Myra R Cornelius, LCSW
• Sierra Elexus Mercedes Cornelous
• Cornerstone Home Healthcare LLC
• Ana Coronado
• Nathalie Cosby, OT
• Cosmo Court LLC
• Lillian Cottingham
• Assata Nia Coulibaly
• Counseling & Assessment Specialist, LLC

• Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.