Individual provider Active NPI

Brian Carson Cochran, P.T.

  • Physical Therapist
  • Covington, LA
National Provider Identifier
1073595922
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06658 Issued in LA
Practice address
129 Corporate Dr.
Covington, LA 70433-1057
Phone
(985) 249-6111
Fax
(985) 249-6109
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06658 LA Primary

Addresses

Primary practice location

129 Corporate Dr.
Covington, LA 70433-1057

Mailing address

129 Corporate Dr.
Covington, LA 70433-1057
Phone (985) 249-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000266 LA Practitioner - Physical Therapist in Private Practice 5294779286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covington Physical Therapy CenterGroup PAC ID 9335243476, 4 clinicians

Practice addresses (Care Compare)

129 Corporate Dr
Covington, LA 70433-1057
Phone (985) 249-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06658LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Covington Physical Therapy Center CurrentSince Nov 1, 2006 Accepting new patients
Bogalusa Physical Therapy, LLC Physical Therapist PastSince Mar 17, 2015 Accepting new patients
Franklinton Physical Therapy, LLC Past Accepting new patients

Locations

129 Corporate Dr
Covington, LA 70433
Phone (985) 249-6111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1073595922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR.",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DR.",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "BRIAN",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "06658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.