Jerwan Cockerham

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

212584 Issued in TX

Practice address

13411 Briar Forest Dr Apt 2048
Houston, TX 77077-2645

Phone

(312) 907-4955

NPI assigned

Mar 15, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1548653546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13411 BRIAR FOREST DR APT 2048",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 BRIAR FOREST DR APT 2048",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772645",
            "telephone_number": "312-907-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERHAM",
        "first_name": "JERWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "212584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rannieri Matheus Cocianni, M.D.
• Danielle Cockburn, D.C.
• Catherine Lynn Cocke, PT
• Nikole Cocker, PTA
• Amy H Cockerham, NP
• Brittanie Charisse Cockrell, MD
• Megan Cockrill
• Wendy A Cockron
• Elda Lane Coco, PH.D.
• Hannah Mary Coco

• Occupational Therapy Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.