Active NPI
Amanda Anne Cochran, P.T
- Physical Therapist
- Corvallis, OR
National Provider Identifier
1619126844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5445
- Practice address
- 996 NW Circle Blvd
Suite 101
Corvallis, OR 97330-1485 - Phone
- (541) 757-0878
- Fax
- (541) 757-0879
- NPI assigned
- Sep 11, 2008
- Last updated
- Oct 31, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5445 | OR | Primary |
Addresses
Primary practice location
996 NW Circle Blvd
Suite 101
Corvallis, OR 97330-1485
Mailing address
11481 SW Hall Blvd
Suite 201
Portland, OR 97223-8403
Phone (800) 219-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00969336 | Other | OR | RR MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5445 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Healing Motion Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Physical Therapist
- Philomath, OR
- NPI 1316919327
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1619126844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11481 SW HALL BLVD",
"address_2": "SUITE 201",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238403",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 NW CIRCLE BLVD",
"address_2": "SUITE 101",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301485",
"telephone_number": "541-757-0878",
"fax_number": "541-757-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "AMANDA",
"middle_name": "ANNE",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00969336",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.