Organization Active NPI

Cole Sports Chiropractic & Rehab, LLC

  • Sports Physician Chiropractor
  • Stafford, VA
National Provider Identifier
1851702203
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
0104556795 Issued in VA
Legal business name
COLE SPORTS CHIROPRACTIC & REHAB, LLC
Practice address
385 Garrisonville Rd
Suite 121 & 211
Stafford, VA 22554-1545
Phone
(540) 242-4489
Fax
(540) 242-4731
NPI assigned
May 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Joshua Jared ColeNPI 1427378348
Title
Owner
Phone
(540) 242-4489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 0104556795 VA Primary

Addresses

Primary practice location

385 Garrisonville Rd
Suite 121 & 211
Stafford, VA 22554-1545

Mailing address

12849 Galveston CT Ste 328
Manassas, VA 20112-8676
Phone (540) 242-4489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921003231 VA Part B Supplier - Clinic/Group Practice 1557678760 Receives reassigned benefits from 1 practitioner
Practice locations: Manassas, VA; Stafford, VA

National Provider Directory

National Provider Directory

Locations

9100 Freedom Center Blvd
Ste 116G
Manassas, VA 20110

385 Garrisonville Rd
Ste 117
Stafford, VA 22554
Phone (540) 242-4489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1851702203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12849 GALVESTON CT STE 328",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201128676",
            "telephone_number": "540-242-4489",
            "fax_number": "540-242-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 GARRISONVILLE RD",
            "address_2": "SUITE 121 & 211",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541545",
            "telephone_number": "540-242-4489",
            "fax_number": "540-242-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE SPORTS CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-242-4489"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104556795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.