Provider Demographics
NPI:1699824805
Name:JEFFREY S COHEN
Entity Type:Organization
Organization Name:JEFFREY S COHEN
Other - Org Name:NEW BEGINNING THERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:949-951-4810
Mailing Address - Street 1:21742 CHATHAM
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3068
Mailing Address - Country:US
Mailing Address - Phone:949-951-4810
Mailing Address - Fax:949-951-4810
Practice Address - Street 1:21742 CHATHAM
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3068
Practice Address - Country:US
Practice Address - Phone:949-951-4810
Practice Address - Fax:949-951-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT24605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16829Medicare PIN