Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cooper Maxwell Cochran, DOT

Individual provider Occupational Therapist · NPI 1043994924

Cooper Maxwell Cochran, DOT is an Occupational Therapist in Private Practice in Port Orchard, Washington. Qualified in 2023, 3 years ago. Practices with Kitsap Physical Therapy and Sports Clinic Ps Inc, a 141-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

1730 SE Mile Hill Dr Unit 100
Port Orchard, WA 98366-3512
Phone: (360) 287-4662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1043994924
Entity typeIndividual (Type 1)
GenderMale
Credentials DOT
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address1730 Se Mile Hill Dr Unit 100, Port Orchard, WA 98366-3512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kitsap Physical Therapy And Sports Clinic Ps Inc — 141 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Orchard