Active NPI
Tim David Cowell, P.T.
- Physical Therapist
- San Clemente, CA
National Provider Identifier
1952467201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24719
- Practice address
- 901 Calle Amanecer Ste 320
San Clemente, CA 92673-4222 - Phone
- (949) 366-6785
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24719 | CA | Primary |
Addresses
Primary practice location
901 Calle Amanecer Ste 320
San Clemente, CA 92673-4222
Mailing address
27432 Aliso Creek Rd
Ste 100
Aliso Viejo, CA 92656-5337
Phone (949) 360-0135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WPT24719A | Other | CA | PPIN LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27432 Aliso Creek Rd
Suite 100
Aliso Viejo, CA 92656-5337
27432 Aliso Creek Rd
Suite 100
Aliso Viejo, CA 92656-5384
Phone (949) 448-0984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24719 | CA | MD | Clinical Social Worker |
| PT24719 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cowell Health Services, Inc. | Current | Accepting new patients | |
| Ocean Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Aliso Physical Therapy & Sports Medicine, Inc | Physical Therapist | Past | Accepting new patients |
Locations
27432 Aliso Creek Rd
Ste 100
Aliso Viejo, CA 92656
Phone (949) 448-0872
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.
-
- Physical Therapy Clinic/Center
- Aliso Viejo, CA
- NPI 1770994535
-
- Physical Therapist
- Aliso Viejo, CA
- NPI 1770511859
-
- Physical Therapist
- San Clemente, CA
- NPI 1396895512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465171200000",
"number": "1952467201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27432 ALISO CREEK RD",
"address_2": "STE 100",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565337",
"telephone_number": "949-360-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 CALLE AMANECER STE 320",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926734222",
"telephone_number": "949-366-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWELL",
"first_name": "TIM",
"middle_name": "DAVID",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2016-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN LICENSE NUMBER",
"identifier": "WPT24719A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.