Active NPI
Chris Thomas Cockrell, D.P.T.
- Physical Therapist
- Bradenton, FL
National Provider Identifier
1144291600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28227
- Practice address
- 2103 8TH Ave W
Suite 2
Bradenton, FL 34205-5814 - Phone
- (479) 254-9515
- NPI assigned
- Jan 31, 2006
- Last updated
- Oct 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28227 | FL | Primary |
Addresses
Primary practice location
2103 8TH Ave W
Suite 2
Bradenton, FL 34205-5814
Mailing address
2103 8TH Ave W
Bradenton, FL 34205-5814
Phone (479) 254-9515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149193721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT28227 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd M. Wulf DC PA | Physical Therapist | Past | Accepting new patients |
| Northwest Health & Lifestyle Centre | Past | Accepting new patients | |
| Hill & Ironside LTD | Physical Therapist | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Bentonville, AR
- NPI 1427232271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1144291600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 8TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055814",
"telephone_number": "479-254-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 8TH AVE W",
"address_2": "SUITE 2",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342055814",
"telephone_number": "479-254-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKRELL",
"first_name": "CHRIS",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28227",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149193721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.