Individual provider Active NPI

Makenzie Cochran, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1942979786
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1350290 Issued in TX
Practice address
3100 Nacogdoches Rd Ste 105
San Antonio, TX 78217-3332
Phone
(210) 496-5588
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 1350290 TX Primary

Addresses

Primary practice location

3100 Nacogdoches Rd Ste 105
San Antonio, TX 78217-3332

Mailing address

5503 Research Dr Apt 2103
San Antonio, TX 78240-5061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210000086 TX Practitioner - Physical Therapist in Private Practice 3375936602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLC 77 clinicians

Practice addresses (Care Compare)

1600 E Riverside Dr
Austin, TX 78741-1006
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
DMH-PT Inc Physical Therapist CurrentSince Sep 12, 2021 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

1600 E Riverside Dr
Austin, TX 78741
Phone (737) 204-8361

2712 Bee Caves Rd
Ste 122A
Austin, TX 78746
Phone (737) 234-9618

511 Oakwood Blvd
Ste 205
Round Rock, TX 78681
Phone (541) 610-5204

3100 Nacogdoches Rd
Ste 105
San Antonio, TX 78217
Phone (210) 496-5588

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1942979786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 RESEARCH DR APT 2103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NACOGDOCHES RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173332",
            "telephone_number": "210-496-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "MAKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1350290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.