Individual provider · Type 1 NPI

Kevonte Cockrill, PTA, CLT, MS

Physical Therapy Assistant · Dallas, TEXAS

NPI number 1679926166 Active

Practice location

206 Storrs Street
Dallas, TEXAS 75219

Mailing address

12639 Coit Rd Apt 3314
Dallas, TX 75251-1726

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XA4492 (MD)
Physical Therapy Assistant 225200000XA4492 (MD)
Physical Therapy Assistant 225200000XTEI005154 (PA)
Kinesiotherapist 226300000XNone listed
Physical Therapy Assistant Primary 225200000X2133780 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

About NPI 1679926166

Kevonte Cockrill, PTA, CLT, MS's National Provider Identifier is 1679926166, issued on Jul 19, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Dallas, TEXAS. The record was last updated on Nov 12, 2022.