MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) – Physical Therapist, NPI 1124332341

MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) is a healthcare provider. based in South pasadena, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT36827 (CA). The NPI Number for MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) is 1124332341

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT)
NPI
1124332341
Phone
(818) 731-3447
Address
1605 HOPE ST
Enumeration Date
29 July 2010
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
6267376734
Graduation Year
2010 (16 years ago)
PAC ID
7517081516
Group Practice PAC ID
0446528046
Professional Enrollment ID
I20100827000306
Address ID
CA910302695SO625XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT)

  • 1605 HOPE ST

    SUITE 100

    SOUTH PASADENA, CA 910302628

    Phone: (818) 731-3447

    Type: Location

  • 500 N ROSEMEAD BLVD

    APT 28

    PASADENA, CA 911072104

    Phone: (818) 731-3447

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100827000306IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,06134$0
97140Therapy procedure using manual technique, each 15 minutes15617$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes12212$0
97162Evaluation for physical therapy, typically 30 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 91030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446528046View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) uses 1124332341.
Can I rely on MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) being an active provider?
As of the registry snapshot, MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) is marked active.
What healthcare role does MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) hold?
Scheduling teams often label MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) based?
MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) is tied to South Pasadena, California in the data we show; additional addresses may exist on the full record.
Is the information about MS. NICOLE MARIE VANDEVELDE COZBY (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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