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

Cullen Valier Cogburn

Individual provider Physical Therapist · NPI 1619551967

Cullen Valier Cogburn is a Physical Therapist in Private Practice in South Portland, Maine. Qualified in 2021, 5 years ago. Practices with Intermed PA, a 185-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

50 Foden Rd
South Portland, ME 04106-1709
Phone: (207) 780-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 Main St, Yarmouth, ME 04096-4703 — (207) 780-8860

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1619551967
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intermed Pa — 185 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in South Portland