Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Cossyleon, DPT

Individual provider Physical Therapist · NPI 1215769971

Alexis Cossyleon, DPT is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2023, 3 years ago. Practices with Petkov Bodywork Therapy LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5125 N 58th Ave
Glendale, AZ 85301-7453
Phone: (623) 931-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033518 (AZ)

Record details

NPI number1215769971
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 19, 2024
Mailing address906 N 112th Dr, Avondale, AZ 85323-7910

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Petkov Bodywork Therapy Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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