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 registered under 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5915 W Memorial Rd Ste 210
Oklahoma City, OK 73142-2022 Not confirmed with CMS for 10 years — call before visiting
Phone: (405) 773-6601
Fax: (405) 773-6602
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients21
Services billed 1,080 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Boomer 06 PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Oklahoma City