Michael Logan Cockrell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65205 Issued in OR

Practice address

15000 SW Barrows Rd Ste 201
Beaverton, OR 97007-8778

Phone

(971) 930-4433

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapydia, Inc.

  • Physical Therapist
  • Portland, OR
  • NPI 1346672797
  Medicare reassignment Care Compare group NPD
• Therapydia, Inc.

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1639583602

  Physical Therapist

  NPD

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1467212795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15686 SW PLEASANTVIEW CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972241292",
            "telephone_number": "530-260-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 SW BARROWS RD STE 201",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078778",
            "telephone_number": "971-930-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "MICHAEL",
        "middle_name": "LOGAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Clute
• Angela Briana Coate-Hermes, RDN
• Min Kyung Coblyn, PHARM. D.
• Mary Cockcroft
• Abbey Cockrall
• Cocoon Come Unwind
• Whitney Cogle
• Cognicare Northwest LLC
• Emilie Cohen Halvorson
• Samuel C Cohen

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.