NORTHLAND-RURAL THERAPY ASSOCIATES
NPI 1376677914
Specialist in Flagstaff, AZ

Active since March 15, 2007
2915 NORTH 4TH STREET, FLAGSTAFF, AZ 86004(928) 779-1679(928) 779-2822 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2022, Jun 19, 2020 (2 updates tracked since 2020).

About Northland-rural Therapy Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHLAND-RURAL THERAPY ASSOCIATES (NPI 1376677914) is a healthcare organization registered as a specialist in Flagstaff, Arizona and active in the NPI registry since March 2007. The organization lists Thomas Cosner, Physical Therapist, Owner, Director, as its authorized official.

NPPES Registry Identity

NPI1376677914
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHLAND-RURAL THERAPY ASSOCIATES, LLC
Location Address2915 NORTH 4TH STREETFlagstaff, AZ 86004
Mailing Address2915 North 4th StreetFlagstaff, AZ 86004 · (928) 779-1679 · Fax (928) 779-2822
Fax(928) 779-2822
Organization SubpartNo
Authorized OfficialThomas CosnerPhysical Therapist, Owner, Director · (928) 779-1679
Enumeration DateMarch 15, 2007
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1376677914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
2915 NORTH 4TH STREET, Flagstaff, AZ 86004

Other Names 1

Doing Business AsNorthland-rural Therapy Associates

Other Identifiers 2

Other872714AZ · Ahcccs Number
Medicaid872714AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northland-rural Therapy Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20120214000939Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Northland-Rural Therapy Associates, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Speech Language Pathologist8
Occupational Therapist in Private Practice5
Physical Therapist in Private Practice5

Clinicians, nearest first (18)

Physical Therapist in Private Practice
NPI 1801905831
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
Same address
Physical Therapist in Private Practice
NPI 1659466324
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
Same address
Physical Therapist in Private Practice
NPI 1851472559
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1669561817
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
Same address
Occupational Therapist in Private Practice
NPI 1588728588
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
Same address
Qualified Speech Language Pathologist
NPI 1790836963
2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
Same address
Occupational Therapist in Private Practice
NPI 1053669812
2224 E CEDAR AVE SUITE 1
Flagstaff, AZ 86004
(937) 524-9034
0.2 mi
Physical Therapist in Private Practice
NPI 1598854838
2224 E CEDAR AVE STE 1
Flagstaff, AZ 86004
(928) 779-1679
0.2 mi
Physical Therapist in Private Practice
NPI 1104349919
2224 E CEDAR AVE STE 1
Flagstaff, AZ 86004
(928) 779-1679
0.2 mi
Qualified Speech Language Pathologist
NPI 1972797900
2406 N WHISPERING PINES WAY
Flagstaff, AZ 86004
(720) 771-2612
✔ Accepts Medicare1.5 mi
Qualified Speech Language Pathologist
NPI 1568644623
125 E ELM AVE STE 103
Flagstaff, AZ 86001
(928) 779-1679
2.1 mi
Qualified Speech Language Pathologist
NPI 1972717098
125 E ELM AVE STE 103
Flagstaff, AZ 86001
(928) 779-1679
2.1 mi
Qualified Speech Language Pathologist
NPI 1083914899
125 E ELM AVE #103
Flagstaff, AZ 86001
(928) 779-1679
2.1 mi
Qualified Speech Language Pathologist
NPI 1235780420
809 W RIORDAN RD STE 100-258
Flagstaff, AZ 86001
(928) 224-9370
✔ Accepts Medicare3.2 mi
Occupational Therapist in Private Practice
NPI 1366812869
800 W UNIVERSITY AVE
Flagstaff, AZ 86001
(888) 873-4221
3.7 mi
Qualified Speech Language Pathologist
NPI 1396824504
10550 NIGHTHAWK LN
Flagstaff, AZ 86004
(928) 773-0895
8.3 mi
Occupational Therapist in Private Practice
NPI 1235788688
NORTHLAND - RURAL THERAPY ASSOCIATES 2915 NORTH 4TH STREET
Flagstaff, AZ 86004
(928) 779-1679
18 mi
Occupational Therapist in Private Practice
NPI 1144414509
3575 QUAKERBRIDGE RD
Hamilton, NJ 08619
(609) 631-2800
2,038 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northland-Rural Therapy Associates, LLC's NPI number?

The NPI number for Northland-Rural Therapy Associates, LLC is 1376677914. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Northland-Rural Therapy Associates.

Where is Northland-Rural Therapy Associates, LLC located?

Northland-Rural Therapy Associates, LLC is located at 2915 North 4th Street, Flagstaff, AZ 86004. The listed phone number is (928) 779-1679.

What is Northland-Rural Therapy Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Northland-Rural Therapy Associates, LLC enrolled in Medicare?

Yes. Northland-Rural Therapy Associates, LLC is registered in the Medicare PECOS enrollment system.

When is Northland-Rural Therapy Associates, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northland-Rural Therapy Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Northland-Rural Therapy Associates, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (8), Occupational Therapist in Private Practice (5) and Physical Therapist in Private Practice (5). Of these, 6 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northland-Rural Therapy Associates, LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Northland-Rural Therapy Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northland-Rural Therapy Associates, LLC was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.