Active NPI
Kevin Cochran
- Massage Therapist
- Prescott Valley, AZ
National Provider Identifier
1598516130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-29812
- Practice address
- 8200 E Jacque Dr
Prescott Valley, AZ 86314-6172 - Phone
- (928) 277-8715
- NPI assigned
- Apr 1, 2024
- Last updated
- Apr 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-29812 | AZ | Primary |
Addresses
Primary practice location
8200 E Jacque Dr
Prescott Valley, AZ 86314-6172
Mailing address
3901 N Main St Unit 130
Prescott Valley, AZ 86314-2686
Phone (302) 867-4214
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 |
|---|---|---|---|
| MT-29812 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presscott Pain Center LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1598516130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 N MAIN ST UNIT 130",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142686",
"telephone_number": "302-867-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 E JACQUE DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146172",
"telephone_number": "928-277-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-01",
"last_updated": "2024-04-01",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-29812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Derek Clark, PHARMD
- Joey Allen Clayton, PA-C
- Stephanie Lynne Clinton, LPN
- Patricia Jane Coates, APRN
- Judy Kaye Cobos, NP
- Barry Coe, M.D.
- Mark Jerome Collins, DO
- Mele Colston
- Community Drug Store, LLC (Community Pharmacy IV)
- Community Medical Services Arizona-Private, LLC (Community Medical Services Prescott Valley)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.