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

Mrs. Josie Cocannouer Blackburn, PT, DPT

Individual provider Physical Therapist · NPI 1306201348

Mrs. Josie Cocannouer Blackburn, PT, DPT is a Physical Therapist in Private Practice in Oklahoma City, Oklahoma. Qualified in 2014, 12 years ago. Practices with Boomer 06 PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
12
Licensed in
OK
In the registry since
2015
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

5915 W Memorial Rd Ste 210
Oklahoma City, OK 73142-2022
Phone: (405) 773-6601
Fax: (405) 773-6602
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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 4808 (OK)

Record details

NPI number1306201348
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 17, 2015
Last updated in NPPESDecember 17, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boomer 06 Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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