Individual provider Active NPI

Tim David Cowell, P.T.

  • Physical Therapist
  • San Clemente, CA
National Provider Identifier
1952467201
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24719 Issued in CA
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

Updated by the provider on Jun 6, 2016

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 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

IdentifierTypeStateIssuer
WPT24719AOtherCAPPIN LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430000623 CA Practitioner - Physical Therapist in Private Practice 7315857877 Reassigns benefits to 1 organization

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
Cowell Health Services IncGroup PAC ID 3971724600, 4 clinicians

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

LicenseStateTypeSpecialty
24719CAMDClinical Social Worker
PT24719CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cowell Health Services, Inc. CurrentSince Jul 5, 2014 Accepting new patients
Ocean Physical Therapy, Inc. Physical Therapist PastSince Nov 1, 2000 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.

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.

Verify at the official NPI Registry.