Individual provider Active NPI

Alexa Marie Cosgro, DPT

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1912468133
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
135 S Peru St
Plattsburgh, NY 12901-4706
Phone
(518) 563-7777
Fax
(518) 563-7770
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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 Primary

Addresses

Primary practice location

135 S Peru St
Plattsburgh, NY 12901-4706

Mailing address

135 S Peru St
Plattsburgh, NY 12901-4706
Phone (518) 563-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190830001065 NY Practitioner - Physical Therapist in Private Practice 1456689330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044174NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Physical Therapy, PC Physical Therapist CurrentSince Aug 16, 2019 Accepting new patients

Locations

135 S Peru St
Plattsburgh, NY 12901
Phone (518) 561-1321

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearl Physical Therapy, PC 4 clinicians

Practice addresses (Care Compare)

135 S Peru St
Plattsburgh, NY 12901-4706
Phone (518) 563-7777

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1912468133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S PERU ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014706",
            "telephone_number": "518-563-7777",
            "fax_number": "518-563-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S PERU ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014706",
            "telephone_number": "518-563-7777",
            "fax_number": "518-563-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGRO",
        "first_name": "ALEXA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.