Provider Demographics
NPI:1538552278
Name:COOKE, JOSHUA JOHNSTON (DPT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JOHNSTON
Last Name:COOKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 VANDORA HILLS PL
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-5423
Mailing Address - Country:US
Mailing Address - Phone:919-810-6125
Mailing Address - Fax:919-234-7502
Practice Address - Street 1:117 VANDORA HILLS PL
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-5423
Practice Address - Country:US
Practice Address - Phone:919-810-6125
Practice Address - Fax:919-234-7502
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17454225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist