NORTHLAND-RURAL THERAPY ASSOCIATES (NPI# 1376677914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376677914 |
| Entity Type | Organization |
| Organization Name | NORTHLAND-RURAL THERAPY ASSOCIATES |
| Practice Address |
2915 North 4th Street Flagstaff AZ 86004 |
| Practice Telephone | 9287791679 |
| Practice Fax Number | 9287792822 |
| Mailing Telephone | 9287791679 |
| Mailing Fax Number | 9287792822 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | THOMAS COSNER (PHYSICAL THERAPIST, OWNER, DIRECTOR) |
| Authorized Official Telephone | 9287791679 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS NUMBER | 872714 | 01 |
| AZ | 872714 | 05 |
| Street Address |
2915 NORTH 4TH STREET |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801905831 | Julie Anne Bouck | Physical Therapist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2006-08-30 |
| 1316440738 | Alaitia Rae Fox | Physical Therapist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2018-03-12 |
| 1417327669 | Brooke Santos | Speech-Language Pathologist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2015-09-30 |
| 1255655627 | Melissa Jean Buyske | Speech-Language Pathologist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2010-03-15 |
| 1477723971 | Judith King | Speech-Language Pathologist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2008-03-11 |
| 1790836963 | Susan C. Martin | Speech-Language Pathologist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2007-01-15 |
| 1851472559 | Taylor Custer | Specialist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2006-10-18 |
| 1669561817 | Becky Jean Gewald | Speech-Language Pathologist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2006-10-12 |
| 1659466324 | Thomas Clarke Cosner | Specialist | 2915 North 4th Street, Flagstaff, AZ 86004 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639437619 | Jayece R. Laudner | Specialist | 1485 N. Turquoise Dr., Suite 220, Flagstaff, AZ 86001 | 2012-04-27 |
| 1306145859 | Alexander Hu | Specialist | 399 S Malpais Ln, Flagstaff, AZ 86001-6218 | 2011-03-23 |
| 1932427077 | Amy Horn | Specialist | 408 N Kendrick St Ste 1, Flagstaff, AZ 86001-1582 | 2010-05-13 |
| 1053550061 | Douglas Crabbe | Specialist | 240 Buffalo Trl, Flagstaff, AZ 86001-9512 | 2009-02-13 |
| 1669617270 | Perring Medical Services, PC | Specialist | 813 N Beaver St, Flagstaff, AZ 86001-3105 | 2008-12-10 |
| 1386825339 | B. Cody Wright Md PC | Specialist | 121 E Birch Ave Ste 503, Flagstaff, AZ 86001-4621 | 2007-11-19 |
| 1770762841 | Cardiac & Peripheral Vascular Specials of Northern Arizona | Specialist | 1515 E Cedar Ave Ste D-2, Flagstaff, AZ 86004-1638 | 2007-10-25 |
| 1679794259 | David G Mueller | Specialist | 5100 W. Kiltie Lane, Flagstaff, AZ 86001 | 2007-05-01 |
| 1073631388 | Karen Deborah Furr | Specialist | 8353 Jupiter Ln, Flagstaff, AZ 86004-1394 | 2007-03-26 |
| 1285784082 | Seaside Sanctuary Clinic LLC | Specialist | 2401 W Route 66, #24, Flagstaff, AZ 86001-8761 | 2007-01-12 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.