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

Michael Logan Cockrell

Individual provider Physical Therapist · NPI 1467212795

Michael Logan Cockrell is a Physical Therapist in Private Practice in Beaverton, Oregon. Qualified in 2024, 2 years ago. Practices with Therapydia Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
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Practice location Address checks out

15000 SW Barrows Rd Ste 201
Beaverton, OR 97007-8778
Phone: (971) 930-4433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65205 (OR)

Record details

NPI number1467212795
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address15686 Sw Pleasantview Ct, Portland, OR 97224-1292

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therapydia Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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