Active NPI
John A Cozad Jr., PT
- Physical Therapist
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4318
- Practice address
- 810 Fairgrove Church Rd
Hickory, NC 28602-9617 - Phone
- (828) 322-2131
- Fax
- (828) 326-6559
- NPI assigned
- Sep 27, 2005
- Last updated
- Jul 24, 2007
- 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 | 4318 | NC | Primary |
Addresses
Primary practice location
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Mailing address
810 Fairgrove Church Rd
Hickory, NC 28602-9617
Phone (828) 322-2131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4318 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
3034 N Center St
Ste C
Hickory, NC 28601
Phone (828) 256-4313
10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894
Organizations & group practices 2
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.
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185235200000",
"number": "1982690707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029617",
"telephone_number": "828-322-2131",
"fax_number": "828-326-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FAIRGROVE CHURCH RD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029617",
"telephone_number": "828-322-2131",
"fax_number": "828-326-6559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZAD",
"first_name": "JOHN",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2007-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.