Individual provider Active NPI

Anthony Robert Cochran, PT, DPT

  • Physical Therapist
  • Kathleen, GA
National Provider Identifier
1730621657
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012698 Issued in GA
Practice address
660 Lake Joy Rd Ste D
Kathleen, GA 31047-2382
Phone
(478) 313-5385
Fax
(478) 313-5429
NPI assigned
Nov 9, 2016
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012698 GA Primary

Addresses

Primary practice location

660 Lake Joy Rd Ste D
Kathleen, GA 31047-2382

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

277 Highway 74 N
Ste 203
Peachtree City, GA 30269-1569
Phone (678) 364-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118002142 GA Practitioner - Physical Therapist in Private Practice 6204115025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

1365 Sam Nunn Blvd
Suite L
Perry, GA 31069-2156
Phone (478) 845-7708

4319 Hartley Bridge Rd
Suite 150
Macon, GA 31216-5866
Phone (478) 333-5111

660 Lake Joy Rd
Suite D
Kathleen, GA 31047-2382
Phone (478) 313-5385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Nov 14, 2016 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Nov 14, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

660 Lake Joy Rd
Ste D
Kathleen, GA 31047
Phone (478) 313-5385

4319 Hartley Bridge Rd
Ste 150
Macon, GA 31216
Phone (478) 333-5111

82 Foothills Pkwy
Ste 201
Marble Hill, GA 30148
Phone (706) 807-3020

277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

810 Plaza Dr
Zebulon, GA 30295
Phone (678) 451-1280

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1730621657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LAKE JOY RD STE D",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472382",
            "telephone_number": "478-313-5385",
            "fax_number": "478-313-5429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "277 Highway 74 N",
            "address_2": "Ste 203",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691569",
            "country_code": "US",
            "telephone_number": "678-364-0337",
            "fax_number": "678-364-0858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.

Verify at the official NPI Registry.