Active NPI
Cassie Abigail Cochrane, PT
- Physical Therapist
- Vienna, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004046
- Practice address
- 1605 Grand Central Ave
Vienna, WV 26105-1081 - Phone
- (304) 295-7290
- Fax
- (304) 295-5922
- NPI assigned
- Jun 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004046 | WV | Primary |
| Physical Therapist | 225100000X | 6196 | SC |
Addresses
Primary practice location
1605 Grand Central Ave
Vienna, WV 26105-1081
Mailing address
1605 Grand Central Ave
Vienna, WV 26105-1081
Phone (304) 295-7290
Other practice location 1
8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone (843) 671-7342
Other names 1
- Cassie Abigail Willis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 Grand Central Ave
Vienna, WV 26105-1081
Phone (304) 295-5505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6196 | SC | MD | Physical Therapist |
| PT004046 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natalie L Cooke LLC | Physical Therapist | Current | Accepting new patients |
| Riverview Health Clinic, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
915 Emerson Ave
Parkersburg, WV 26104
Phone (304) 295-7290
1605 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-5505
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1568783892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051081",
"telephone_number": "304-295-7290",
"fax_number": "304-295-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 GRAND CENTRAL AVE",
"city": "VIENNA",
"state": "WV",
"postal_code": "261051081",
"telephone_number": "304-295-7290",
"fax_number": "304-295-5922"
}
],
"practiceLocations": [
{
"address_1": "8 Hospital Center Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "Hilton Head Island",
"state": "SC",
"postal_code": "299268702",
"country_code": "US",
"telephone_number": "843-671-7342",
"fax_number": "843-671-7343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COCHRANE",
"first_name": "CASSIE",
"middle_name": "ABIGAIL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004046",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6196",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSIE",
"last_name": "WILLIS",
"middle_name": "ABIGAIL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vienna, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.