Emily P. Coonradt, LPTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3144 Issued in SC

Practice address

1454 Mexico Way NE
Roanoke, VA 24012-6476

Phone

(540) 772-8022

Fax

(540) 345-6338

NPI assigned

Dec 19, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1033448154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 FLAGLER DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240196311",
            "telephone_number": "540-293-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 MEXICO WAY NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126476",
            "telephone_number": "540-772-8022",
            "fax_number": "540-345-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONRADT",
        "first_name": "EMILY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "LPTA, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000486",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602864",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.