Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna M. Kokolis, PT, DPT

Individual provider Physical Therapist · NPI 1407934359

Joanna M. Kokolis, PT, DPT is a Physical Therapist in Private Practice in Williamsburg, Virginia. Qualified in 2002, 24 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Texas and Virginia.

Years since qualifying
24
Licensed in
TX, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4125 Ironbound Rd Ste 100
Williamsburg, VA 23188-2666
Phone: (757) 220-8383
Fax: (757) 253-7833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305209311 (VA)
Physical Therapist Taxonomy 225100000X · Licence 1158690 (TX)

Record details

NPI number1407934359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 1, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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