Charles Willson Cocke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214492 Issued in VA

Practice address

1220 Crozet Ave
Crozet, VA 22932-3163

Phone

(434) 363-2482

Fax

(847) 730-2939

NPI assigned

Feb 12, 2018

Last updated

Oct 26, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Martha Jefferson House

  • Rehabilitation Clinic/Center
  • Charlottesville, VA
  • NPI 1093445165

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Charlottesville, VA
  • NPI 1457806994

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Mechanicsville, VA
  • NPI 1821066978
  NPD
• Beat Rehabilitation and Wellness, LLC

  dba Beat Physical Therapy

  • Physical Therapist
  • Columbia, MD
  • NPI 1972991644
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1649779075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORWICH ST APT 109",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036410",
            "telephone_number": "757-902-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CROZET AVE",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323163",
            "telephone_number": "434-363-2482",
            "fax_number": "847-730-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Rio Rd W",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229011411",
            "country_code": "US",
            "telephone_number": "434-978-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKE",
        "first_name": "CHARLES",
        "middle_name": "WILLSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-12",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26869",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanhee Chung, DMD
• Kelly Ruffi Clem, OTR/L
• Brandan Clifford, OTR/L
• Kevin M. Clifford, DDS
• Amy Zaiser Cobert, SLP
• Laura Frances Coleman, PT
• Melinda Lee Conklin, OT
• Afton Michelle Cordoba, LPC
• Crozet Blue Ridge Dental, PLC
• Crozet Childrens Health Center PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.