Brian Coleman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61673 Issued in OR

Practice address

15630 Boones Ferry Rd Ste 6
Lake Oswego, OR 97035-3455

Phone

(503) 454-6236

NPI assigned

May 17, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Ground Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Lake Oswego, OR
  • NPI 1437921871
  NPD Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1053768465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "503-454-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 BOONES FERRY RD STE 6",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353455",
            "telephone_number": "503-454-6236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 NE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986072037",
            "country_code": "US",
            "telephone_number": "503-454-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60465913",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Leslie Cline, PA-C
• Kayley Clothier
• Cocoro Counseling LLC
• Richard Alan Cohen, M.D.
• Stewart Delos Cole, DO
• Susan Merie Colemer, A-GNP-C
• Colibri Chirorpractic Clinic
• Loriann Collepardi
• Kellie L Collins
• Michelle Ann Collins

• Physical Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.