Individual provider Active NPI

Judith Siegel Cohn, PT

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1982758496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3088 Issued in CA
Practice address
136 N San Mateo Drive
Suite 201
San Mateo, CA 94401-2778
Phone
(650) 558-0247
Fax
(650) 558-1735
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT3088 CA Primary

Addresses

Primary practice location

136 N San Mateo Drive
Suite 201
San Mateo, CA 94401-2778

Mailing address

136 N San Mateo Drive
Suite 201
San Mateo, CA 94401-2778
Phone (650) 558-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3088CAMDPhysical Therapist
3088CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Health on Wheels PC Physical Therapist Past Accepting new patients
ABA Physical Therapy Associates PC Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982758496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DRIVE",
            "address_2": "SUITE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012778",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DRIVE",
            "address_2": "SUITE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012778",
            "telephone_number": "650-558-0247",
            "fax_number": "650-558-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "JUDITH",
        "middle_name": "SIEGEL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT3088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.