Organization Active NPI

Covington Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Covington, LA
National Provider Identifier
1740347368
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
00658 Issued in LA
Legal business name
COVINGTON PHYSICAL THERAPY CENTER
Practice address
129 Corporate Drive
Covington, LA 70433-1057
Phone
(985) 249-6111
Fax
(985) 249-6109
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Mr. Brian Cochran, PTNPI 1073595922
Title
Owner
Phone
(985) 249-6111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 00658 LA Primary

Addresses

Primary practice location

129 Corporate Drive
Covington, LA 70433-1057

Mailing address

129 Corporate Drive
Covington, LA 70433-1057
Phone (985) 249-6111

Other names 1

  • CARE Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000047 LA Part B Supplier - Clinic/Group Practice 9335243476 Receives reassigned benefits from 5 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

73015 Highway 25
Ste C
Covington, LA 70435
Phone (985) 249-6111

129 Corporate Dr
Covington, LA 70433
Phone (985) 249-6111

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1740347368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CORPORATE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331057",
            "telephone_number": "985-249-6111",
            "fax_number": "985-249-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-249-6111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "00658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.