Keairez Jawon Coleman, DPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT38837 Issued in FL

Practice address

1 Buccaneer PL
Tampa, FL 33607-5701

Phone

(601) 660-2117

NPI assigned

Jul 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1043999402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROBINSON COLEMAN RD",
            "city": "HARRISVILLE",
            "state": "MS",
            "postal_code": "390824137",
            "telephone_number": "601-660-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUCCANEER PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075701",
            "telephone_number": "601-660-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KEAIREZ",
        "middle_name": "JAWON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "PT38837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger R Coleman
• James Wesley Coleman, MA
• John Mark Coleman, M.D.
• Jomar Coleman
• Joy Marie Coleman
• Kimberly Ann Coleman, CRNA
• Sabrina Marthe Coleman, PHARM.D.
• Timothy Coleman, PT, DPT
• Adriane Coles, LMT
• Marisa Kathryn Colesanti, DPT

• Sports Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Sports Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.