Nikki Lynn Coyne, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

009240 Issued in GA

Practice address

1015 Laurel Valley Dr SW
Marietta, GA 30064-3973

Phone

(304) 280-0815

NPI assigned

Feb 15, 2007

Last updated

Mar 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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

• Orthosport Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Kennesaw, GA
  • NPI 1174501100
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1073656526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 LAUREL VALLEY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 LAUREL VALLEY DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643973",
            "telephone_number": "304-280-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "NIKKI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "009240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "393730",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nomvula Grace Cox
• Reagan Cox, PA-C
• Rhia Cox
• Sonya Coy, LPC
• Darlene Mendenhall Coyne, N.P.
• Shawn Marie Coyne, PHD
• Leah Harper Cozzo, PT
• Audra Crabbe, PA-C
• Charles H Crabbe, MD
• Carissa Crabtree, BCBA

• Orthopedic Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.