Joshua Paul Cockram, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305217123 Issued in VA

Practice address

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014

Phone

(276) 622-3636

Fax

(276) 627-0060

NPI assigned

May 22, 2025

Last updated

May 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• O&W Enterprises

  • Physical Therapist
  • Stanleytown, VA
  • NPI 1487895348
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1053104117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 FAIRYSTONE PARK HWY",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241683014",
            "telephone_number": "276-622-3636",
            "fax_number": "276-627-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 FAIRYSTONE PARK HWY",
            "city": "STANLEYTOWN",
            "state": "VA",
            "postal_code": "241683014",
            "telephone_number": "276-622-3636",
            "fax_number": "276-627-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Brookdale Street",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "24112",
            "country_code": "US",
            "telephone_number": "276-622-3636",
            "fax_number": "276-627-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKRAM",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Stanleytown, VA
• Providers in Stanleytown, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.