Healthcare Provider Details

I. General information

NPI: 1669527024
Provider Name (Legal Business Name): JAMIE R COCHRAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE R HARTZELL PT, DPT

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11340 W BELL RD STE A-101
SURPRISE AZ
85378-9342
US

IV. Provider business mailing address

11340 W BELL RD STE 108
SURPRISE AZ
85378-9333
US

V. Phone/Fax

Practice location:
  • Phone: 623-376-9100
  • Fax: 623-376-9141
Mailing address:
  • Phone: 602-848-9326
  • Fax: 623-522-4042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7320
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: