Alicia Coffroth, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

35096 Issued in CA

Practice address

1110 Carolina LN
San Diego, CA 92102-3713

Phone

(619) 262-7342

NPI assigned

Mar 11, 2010

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abilities Pediatric Physical Therapy

  • Early Intervention Provider Agency
  • San Diego, CA
  • NPI 1922725662
  NPD Authorized official
• County of San Diego

  • Exclusive Provider Organization
  • San Diego, CA
  • NPI 1023103595
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1053634584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6977 NAVAJO RD # 445",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191503",
            "telephone_number": "619-962-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CAROLINA LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023713",
            "telephone_number": "619-262-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFROTH",
        "first_name": "ALICIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "35096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy A Coffin-Romig, CNS, APRN, BC
• Demetri Beau Coffin, PSY.D.
• Mickey Semo Coffler, MD
• Julie Marie Coffman, PT, CWS
• Stacy A Coffman, O.D.
• Andrea Coggan
• James Coggan, D.O.
• Ashlee Coggeshall
• Cognihealth, LLC
• Amber Mullaney Cogo, BA, NBC-HWC

• Pediatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.