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

Desiree Cougill

Individual provider Physical Therapist · NPI 1891675906

Desiree Cougill is a Physical Therapist in Private Practice in Providence, Rhode Island. Qualified in 2020, 6 years ago. Practices with Bay State Physical Therapy PC, a 37-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

401 Elmgrove Ave
Providence, RI 02906-3451
Phone: (401) 421-4111
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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 070.025266 (IL)

Record details

NPI number1891675906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address2970 N Sheridan Rd Apt 1406, Chicago, IL 60657-5831

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bay State Physical Therapy Pc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence