Cole Sports Chiropractic & Rehab, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104556795 Issued in VA

Legal business name

COLE SPORTS CHIROPRACTIC & REHAB, LLC

Practice address

9100 Freedom Center Blvd Ste 116G
Manassas, VA 20110-2238

Phone

(540) 242-4489

NPI assigned

May 19, 2014

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Jared Cole, DC

  • Chiropractor
  • Stafford, VA
  • NPI 1427378348
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "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": "9100 FREEDOM CENTER BLVD STE 116G",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102238",
            "telephone_number": "540-242-4489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2761 Richmond Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548330",
            "country_code": "US",
            "telephone_number": "540-242-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLE SPORTS CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "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": []
}

• Shealyn Clinger
• CNR Home Healthcare
• Ashley Coates, RBT
• Kathleen Coffman, RBT
• Dawn L Cohn, OTR/L
• Abby Gayle Cole, M.S., CCC-SLP
• Isma Coleman, BCBA, LBA
• Colibri Clinical Center, LLC
• Emily Marie Collado-Lugo
• Carrie E Collier, PHD, LPC

• Sports Physician Chiropractor in Manassas, VA
• Providers in Manassas, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.