Active NPI
Vincent B Cochran, OTR-L
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1487869459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3740
- Practice address
- 3130 E Broadway Rd
Mesa, AZ 85204-1740 - Phone
- (480) 396-5500
- NPI assigned
- May 13, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3740 | AZ | Primary |
| Occupational Therapist | 225X00000X | OT-006111 | OH | |
| Occupational Therapist | 225X00000X | KY-R3005 | KY |
Addresses
Primary practice location
3130 E Broadway Rd
Mesa, AZ 85204-1740
Mailing address
7299 E Cliff Rose TRL
Gold Canyon, AZ 85218-1931
Phone (480) 981-0763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R3005 | KY | MD | Occupational Therapist |
| OT-006111 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487869459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7299 E CLIFF ROSE TRL",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "852181931",
"telephone_number": "480-981-0763",
"fax_number": "480-981-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852041740",
"telephone_number": "480-396-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "VINCENT",
"middle_name": "B",
"credential": "OTR-L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3740",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-006111",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R3005",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.