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

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