Individual provider Active NPI

Jonathan Esteban Cousin, PT, DPT, MSBH

  • Physical Therapist
  • Napa, CA
National Provider Identifier
1831819309
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302809 Issued in CA
Practice address
433 Soscol Ave Ste B191
Napa, CA 94559-4040
Phone
(707) 224-3131
NPI assigned
Sep 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302809 CA Primary

Addresses

Primary practice location

433 Soscol Ave Ste B191
Napa, CA 94559-4040

Mailing address

4025 Fairfax Dr
Napa, CA 94558-2235
Phone (661) 345-8874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221015000113 CA Practitioner - Physical Therapist in Private Practice 6901272962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Physical Therapy CenterGroup PAC ID 7113813692, 6 clinicians

Practice addresses (Care Compare)

433 Soscol Ave
Suite B191
Napa, CA 94559-4040
Phone (707) 224-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Physical Therapy Center Inc Physical Therapist CurrentSince Sep 3, 2022 Accepting new patients

Locations

3273 Claremont Way
Ste 101
Napa, CA 94558
Phone (707) 224-3131

433 Soscol Ave
Ste B191
Napa, CA 94559
Phone (707) 224-3131

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, 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": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1831819309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 FAIRFAX DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582235",
            "telephone_number": "661-345-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 SOSCOL AVE STE B191",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594040",
            "telephone_number": "707-224-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "JONATHAN",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MSBH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.